Male Infertility

Description Male Infertility

Subfertility is defined as the inability of a sexually active couple without contraception to achieve a spontaneous pregnancy for 1 year.

Primary infertility refers to couples who have never had a child and are unable to achieve pregnancy after at least twelve consecutive months of sexual intercourse without contraception. Secondary infertility refers to infertile couples who have been able to achieve pregnancy at least once before.

It is necessary to differentiate infertility from recurrent miscarriage, in which there are two or more miscarriages that do not go to term.

One in eight couples have problems when trying to conceive a first child and one in six when trying to conceive a subsequent child, making it a very common situation in clinical practice.

A factor associated with male infertility is found in 50% of couples, usually in conjunction with abnormal semen parameters. For this reason, all male patients should undergo a medical evaluation by a urologist trained in male reproduction.

Male fertility can be affected as a result of multiple factors:

• Congenital or acquired urogenital abnormalities: prostate problems or surgeries, vasectomy.
• Radiotherapy or chemotherapy.
• Malignant tumors.
• Urinary tract infections.
• Increased scrotal temperature (e.g., as a result of a varicocele)
• Endocrine disorders.
• Genetic abnormalities.
• Immunological factors.

In 35% of cases of subfertility in men, no associated factor is found to explain the alteration of sperm parameters (studied in a seminogram), which historically has been called idiopathic male infertility. In these men no previous history of diseases affecting fertility is found and they have normal results on physical examination and endocrine, genetic and biochemical laboratory tests, although semen analysis reveals pathological findings.

Advanced paternal age has emerged as one of the main risk factors associated with the progressive increase in the prevalence of male factor infertility.

In every man with fertility problems, a complete clinical and reproductive history, physical examination, semen analysis and hormonal analysis should be performed, in addition to specific semen analysis or imaging tests when necessary.

Our Andrology Unit, composed of four Andrologists of recognized prestige: Javier Romero Otero, Borja García Gómez, Esther García Rojo and Manuel Alonso Isa offers a personalized treatment of the highest level, regardless of your case. After a study of the subfertile male will help you to establish the possible causes and offer the appropriate therapeutic alternative.