Infertility can be primarily defined as when a couple is unable to achieve a pregnancy after one year of unprotected intercourse. Approximately 15% of couples attempting their first pregnancy meet with failure. The male factor is at least partly responsible in about 50% of infertile couples.
It is very important to know that infertility is a couple’s problem and the evaluation and treatment of infertility considers the couple as a unit. They advise to young couples will be to have a workup as soon as one year of unprotected sexual contact is over without success or in cases where the female partner is above 35 we suggest having the evaluation done after 6 months.
This initial evaluation shall be a simple semen analysis. The common conditions we see in the clinic are decrease in a sperm count, decrease in sperm motility or abnormalities of sperm morphology. The semen sometimes can also have infection like the urine which may indirectly affect the quality of semen.
The brain is an integrative center of the reproductive axis and regulates the production and secretion of hormones which stimulate testis to produce sperms and testosterone. In individuals with abnormalities at brain level or testes level the sperm production may be abnormal.
A common treatable cause of infertility is varicocele.Varicocele is a mass of enlarged and swollen veins that develops in the spermatic cord within the scrotal sac which causes a progressive time-dependent decline in semen quality. The normal testes are kept outside the body to maintain a 2 degree temperature lower than the body temperature. But in varicocele the venous blood pools around the testes causing defect in temperature regulation and also causes toxins to pool around which affects the semen quality. surgical treatment is the only option and In RBH we are providing a keyhole varicocelectomy.
About 50% of men who undergo varicocelectomy to correct infertility father children within the first year.
Dr. Ravisankar Pillai, [MBBS, MD, FEBU] is a Specialist Urologist at Royal Bahrain Hospital. For more information or to book your appointment, call 1724 6800 or plan your visit at www.royalbahrainhospital.com.