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Problems In Male Fertility

Problems In Male Fertility | Birmigham Fertility CentreA normal sperm count is 20 million per ml of semen, with at least half the sperms being motile or swimming forward. Male subfertility may be diagnosed when the sperm count is below 20 million  per ml, or if there is reduced motility or increased number of abnormal forms/ shapes. This may present alone or in combination. Sperm counts vary from day to day, and at least two samples may be tested to assess the problem. Abnormal sperm findings can be seen even in those men who have previously fathered children. Unfortunately there is currently no reliable medical treatment to improve sperm count or motility. The treatment offered will be IVF or ICSI.

A severe form of male infertility is when there are no sperms in the ejaculate called azoospermia. This may be due to an obstruction preventing sperm being ejaculated as in patients with a vasectomy or if there is congenital absence of the vas deferens, which is the tube leading from the testicles to the ejaculatory systems. The other cause is non obstructive, when sperm production in the testes is affected. In both obstructive and non obstructive azoospermia, it may be possible to retrieve sperms from the testes or epididymis by a surgical process. The number of living, motile sperm retrieved by these techniques is very small and they can only be used for treatment called ICSI where the sperm is injected directly into a mature egg to achieve fertilisation.