Male and Female Infertility Treatment and Suggestion

Male and Female Infertility: Treatment and Suggestion

What is Infertility in Male and Female?

Infertility refers to an inability to conceive after having regular unprotected sex. Infertility can also refer to the biological inability of an individual to contribute to conception, or to a female who cannot carry a pregnancy to full term. It is an absolute state of inability to conceive.

Treatment of Male and Female Infertility:

Infertility Treatment for Male and Female:

1. Reassurance,

2. Correction of coital difficulties:

• Some couples require instructions on the difficulties of coitus, on its timing & spacing.
• Change in coitul position can be tried in case of mechanical difficulty.
• Immediately after coitus the wife should rest quietly for 10 minutes to ensure that some semen remains in contact with cervix.

3. Correction of general ill health: Over work, anxiety & intemperance in smoking & drinking.

You can read: Main Causes of Infertility in Males and Females

Infertility Treatment for Male:

To improve spermatogenesis the following measures may be helpful.

a. General Care:

• Improvement of general health, reduction of weight in obese, avoidance of alcohol & heavy smoking are helpful.
• Use of vitamins E, C, D, B2 & folic acid as antioxidants.
• Medications that interfere spermatogenesis should be avoided.

b. Medical Treatment:

1. In hypogonadotrophic-hypogonadism:

• β- hCG 5000 IU, IM once or twice a weck is given to stimulate endogenous testosterone production.
• hMG is added to hCG when there is no sperrn in the ejaculate with hCG alone.
• Dopamine agonist is given in hyperprolactinaemia.
• Pulsatile GnRH therapy in infertile male with GnRH deficiency is effective.

2. In hypergonadotrophic-hypogonadism:

• No form of medical treatment can improve fertility in men.

3. Clomiphene citrate: 25-30 mg orally daily for 25 days with rest for 5 days for 3 cycles is given.

4. In presence of antisperm antibodies in the male, dexamethasone 0.5 mg daily may be tried.

5. Genital tract infections need prolonged course of antibiotics.

6. In retrograde ejaculation, phenylephrine is used.

7. In teratospermia, asthenospermia ipecific causes are unknown. No treatmeht is available.

8. In genetic abnormality, artificial insemination with donor sperm (AID) is the option.

You can read: Types and Risk Factors of Infertility in Males and Females

c. Surgical Treatment:

• Obstruction of vas should be corrected by microsurgery: Vasoepididymostomy or vasostomy.
• The presence of varicocele is corrected by high ligation of spermatic vein & the hydrocele by surgery.
• Orchidopexy intunaescended testes should be done between 2-3 years of age to have adequate.
• Spermatogenesis in later life.

d. Prevention of male infertility:

• The efficient & early treatment of cryptochidism.
• Treatment of orchitis complicating mumps & other virus infection.
• If early in the course of orchitis, tension in the testes is reduced by incision of its capsule & the ischaemia which causes tubular necrosis may be prevented. Treatment with massive doses of hydrocortisone, sometimes recommended.

You can read: How to Diagnose and Investigate Infertility of Males and Females?

Infertility Treatment for Female:

Medical Therapy:

1. Hormone therapy:

• The only clear indication for hormone therapy is a proven failure of ovulation. Hormone gonadotrophin or GnRH with Clomiphene or similar preparations.
• Bromocriptine.

2. Operative treatment:

1. Dilatation of cervix,
2. Tubal insufflations,
3. Hysterosalpingography,
4. Laparoscopy,
5. Reconstruction operations on the tubes-

• Re-implantation of the tube,
• End-to-end anastomosis,
• Salpingostomy.

3. Prevention of female infertility:

• The elimination of gonorrhoea & chlamydial infection.
• The elimination of Injuries & infections sustained at the time of abortion & labour.

More questions related to this article:

• What is infertility?
• Define infertility.
• What do you mean by infertility?
• Write down the treatment of infertility?
• How will you treat a couple of infertility (primary) and what suggestion you want to give them? How you will you treat a couple of primary infertility?
• What suggestions you want to give them?
• How will you treat a lady with history of infertility due to anovulation?