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THE PHARMA REVIEW (NOVEMBER - DECEMBER 2011)

Infertility in Men

Dr Chitra Ram Murthy

Over the last few decades, sperm count has been declining steadily. Many studies have linked this alarming trend to our modern high-fat, nutrient-deficient diet. One-third of the time the problem lies with the male, one-third of the time it lies with the female, and one-third of the time infertility is caused by problems with both the male and the female.

 
Infertility, which affects as many as 1 in 6 couples, is defined as the inability of a couple to conceive a child after one year of unprotected sex and is usually diagnosed through medical interviews and physical examinations of both partners. Infertility can be caused by a wide variety of factors. One-third of the time the problem lies with the male, one-third of the time it lies with the female, and one-third of the time infertility is caused by problems with both the male and the female. Sometimes either the sperm or the egg are unhealthy or there is some sort of mechanical obstruction keeping the sperm from fertilizing the egg. Once an egg is fertilized it must be able to become implanted in the uterus and then the embryo must be healthy and have the proper hormonal environment in which to develop properly. Metabolic imbalances, stress, increasing age, smoking, alcohol, exposure to toxic chemicals and drugs, and nutritional deficiencies or excesses can all negatively affect fertility. Infertility afflicts thousand’s of married couple’s leading to untold mystery and frustration. In India 15-20% of the married couple’s in their fertile age group suffer from infertility. With the recent advancements in the management of infertility, the couple can realize their dream more reliably and that to at a fraction of what it costs to seek similar treatment abroad. A detailed history of both the partners and clinical examination is carried out. Depending upon the findings, previous investigations & treatment is done. There are various modes of treatment offered to curb infertility.

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