It used to be that a diagnosis of “male infertility” was typically met with despair as it was commonly known that male infertility was more difficult to treat. Thankfully, advances over the past 10 years have greatly improved the changes of building a family for those diagnosed with infertility. Now, over 90 percent of men with a diagnosis of male infertility will reach their family building goals.
After trying unsuccessfully to have a child, many couples are taken aback when they first seek medical treatment at fertility clinics. A veritable barrage of tests awaits, with unfamiliar terminology in the results. Breaking through the jargon and learning the science beneath can be helpful to understanding male fertility.
Scientists from Cold Spring Harbor Laboratory may have discovered an important event in sperm development vital for male fertility. Infertility affects about 3 million men in the United States. Many of these men seek help from a fertility clinic, but the success of any in vitro fertilization, or IVF, procedure and successful delivery depends on a healthy sperm and egg; healthy DNA is especially important to a healthy sperm and baby. Researchers may now be closer to understanding how a special protein may control how DNA information is packaged inside sperm.
Of course it makes sense that because it takes two people to have a baby, both parties are tested. Our main problems were relating to my secondary infertility. Ironically, when the first hospital conducted tests, problems were found on the male side.
Infertility can be caused by one or more factors for both men and women. It is important to recognize the signs of when a couple should take the first steps to see a doctor to learn about their options. Most experts suggest at least one year of trying for men and women younger than age 35. However, women aged 35 years or older should see a health care provider after six months of trying unsuccessfully. A woman's chances of having a baby generally decrease rapidly every other year or so after the age of 30.
The world of fertility treatments is expanding each day with fertility preservation procedures becoming more and more popular. This allows women to have biological children in the future, even if they are not at their most fertile age. Fertility Preservation is a way for men and women to freeze their sperm, eggs or embryos for future use. Patients facing chemotherapy and radiation for cancer or those with ovarian cysts, lupus or a family history of early menopause may also benefit from fertility preservation. Eggs, sperm, and resulting embryos may all be frozen and stored for prolonged periods until future use in IVF cycles. They are frozen using liquid nitrogen and stored in special facilities. Once the patient is ready to start a family of their own, the preserved samples are thawed and prepared for use in IVF cycles.
Lower calorie diet and weight loss may improve fertility1 , testosterone2 and erectile dysfunction in obese men including men with metabolic syndrome and sleep apnea by altering hormonal profiles, insulin, inflammatory markers, and leptin3,4.
In addition to low sex drive (resulting from low testosterone), erectile dysfunction (ED) occurs more commonly in obese men, than in normal weight individuals, due to disturbance of vasculature, metabolic syndrome (up to 97% of men have ED), and hormones including decreased testosterone. These changes disturb nitric oxide production in the penis needed for erection. In addition to these factors, obesity carries increased risk of smoking, diabetes, increased cholesterol and blood pressure, all of which are associated with increased risk of ED.