Three of the most important causes of male infertility are:
1. Unknown number, motility and structural disorders (idiopathic oligoasthenoteratospermia-idiopathic OATs)
2. Insufficiency of the veins carrying dirty blood from the testicles (varicocele)
3. The absence of sperm in the semen (azoospermia). Among them, varicocele and other articles on the site have been discussed in detail.
He has tried many treatment options for the treatment of unknown number, motility and structural disorders of sperm. Among them, antiestrogens (clomiphene citrate), androgens (testosterone), antioxidants (vitamins E and C), corticosteroids and mobility-enhancing agents (Padutin, Kallikrein) can be counted. In controlled and placebo comparison studies (administration of active substance to one group and starch or sugar prepared in the same visuality to the other group), none of these agents listed above could be shown to be beneficial. Therefore, their use is not recommended.
So how do we treat it? The use of vitamin E can be recommended for men who eat irregularly and smoke. It is important to reduce or preferably stop smoking, not to wear tight underwear, not to be inactive for a long time, and to adopt a healthier lifestyle.
The accepted view today is not to treat the man, but to use his existing sperm. If there is a sperm analysis that allows spontaneous pregnancy, if the age of the woman is young and the marriage period is short, it can be waited for a while. If the total number of motile sperm in the semen is over 10 million, vaccination can be done. Vaccination is a simple and inexpensive option compared to in vitro fertilization, but has a low chance of success; The chance of success per application is around 15-17%. After an unsuccessful application, a break is given for 2 months and it has been concluded that the application is effective at most 3-4 times in the studies. Micoinjection is applied in the presence of severe sperm problems or in cases of failure of vaccination in mild cases. In fact, the most effective treatment for male infertility is microinjection. Success is very high when the woman is also young and has good ovarian capacity. Success goes up to 60-70% in such couples.