It Is The Medical Specialty That Deals With Male Reproductive Health, Particularly Relating To The Problems Of The Male Reproductive System And Urological Problems That Are Unique To Men. It Is The Counterpart To Gynaecology, Which Deals With Medical Issues Which Are Specific To Female Health, Especially Reproductive And Urologic Health.
Andrology Covers Anomalies In The Connective Tissues Pertaining To The Genitalia, As Well As Changes In The Volume Of Cells, Such As In Genital Hypertrophy Or Macrogenitosomia.
From Reproductive And Urologic Viewpoints, Male-Specific Medical And Surgical Procedures Include Vasectomy, Vasovasostomy (One Of The Vasectomy Reversal Procedures), Orchidopexy And Circumcision As Well As Intervention To Deal With Male Genitourinary Disorders Such As The Following: The State And Have Access To Specialized Treatments Not Available In Their Local Communities.
- Carcinoma Of The Penis
- Erectile Dysfunction
- Frenulum Breve
- Penile Fracture
- Peyronie'S Disease
- Post-Vasectomy Pain Syndrome
- Prostate Cancer
- Retrograde Ejaculation
- Seminal Vesiculitis
- Testicular Cancer
- Testicular Torsion
Ayaansh Andrology Hospital Is The Major Referral Centre for Best Male Infertility Treatment in Bangalore And We Encourage Both Members Of A Couple To Come To All Visits At The Clinic. The Consistency Of Care Helps To Improve The Flow Of Information To Patients And Makes For A Pleasant Environment.
Patients At Ayaansh Hospital Come From All Over The State And Have Access To Specialized Treatments Available In our Centre For Male Infertility Problems.
- Bladder Washing For Sperm Recovery In Retrograde Ejaculation
- Vibratory And Electro Ejaculation
- Sperm Aspiration And Micro surgical Reconstructive Procedures
- Anti-sperm antibody testing
- Specific Immunoperoxidase Staining For White Blood Cells In Semen
- Vivo Sperm Viability Testing
Electron Microscopy Of Sperm Tails, Computerized Studies Of Sperm Movement And Sperm Dna Fragmentation Are Performed In Specific Cases. Cryopreservation Of Sperm Is Available Through Our Lab For Those Wishing To Bank Sperm. Donor Sperm Are Readily Available Through A Commercial Vendor.
Centre For Male Infertility Problems
Ayaansh Hospital and IVF Centre provides the Best Male Infertility Treatment in Bangalore and known as Best Center For Male Infertility Problems
Nearly 90% Of Male Infertility Is Due To Low Sperm Count And Poor Sperm Quality, The Rest Of The Cases Are Related To Anatomical Issues, Hormonal Imbalance, And Genetic Defects.
According To WHO, Sperm Count Less Than 15Million Sperm/Ml Semen Is Considered As Low Sperm Count Or Oligospermia. In A Few Cases, Men Who Can Produce Sperm Cannot Ejaculate Sperm Because Of An Underlying Medical Condition Called Azoospermia
In Low Sperm Count, Sperms Cannot Reach The Vas (The Tube That Transports Sperm) Because Of The Less Quantity Whereas, In Poor Sperm Quality, Sperm Cannot Swim Towards The Egg. Thus, Low Sperm Count And Poor Sperm Quality Hinder Fertilization.
IVF Technique ICSI (Sperms Are Directly Injected Into The Egg) Is The Most Effective Treatment For Both The Conditions, Whereas In Azoospermia (Who Cannot Ejaculate Sperms) The Sperm Retrieval Is Required, Where The Sperms Are Aspired Directly From The Testis, Followed By ICSI.
Semen Analysis Is The Common Procedure To Determine The Male Infertility Factor. It Helps To Analyze Sperm Count, Sperm Shape And Its Motility (Movement Of Sperm).
Female Fertility Declines With Advancing Age, Whereas In Men, The Sperm Quality Deteriorates With Age. The Genetic Composition Integrity Of Sperm Is Crucial For The Success Of Fertilization. Abnormality In The Sperm Genome Can Affect The Success Rate In IVF And Also Causes Miscarriages.
Male Factor As A Cause Of Infertility Accounts To About 35% Of Infertility Patients. A Male Infertility Factor Is Often Defined By Abnormal Semen Parameters, In Simpler Terms Low Sperm Count But May Be Present Even When The Semen Analysis Is Normal. Male Infertility Can Be Due To A Variety Of Conditions, Many, But Not All, Of Which Can Be Identified And Treated.
When The Cause Of Abnormal Semen Parameters Cannot Be Identified, As Is True In Many Patients, The Condition Is Termed Idiopathic. Ideally, The Identification And Treatment Of Correctable Conditions Will Improve And Increase Sperm Motility Of The Male Partner And Allow Conception To Be Achieved Naturally. In Some Cases, Men With Very Low Sperm Counts And Low Motility Scores Can Sometimes Have Children.
An Initial Screening Evaluation Of The Male Partner Of An Infertile Couple Is Indicated When Pregnancy Has Not Occurred After 12 Months Of Unprotected Intercourse Or After 6 Months Of Failure To Conceive When The Female Partner Is >35 Years Old. The Earlier Evaluation May Be Warranted When Medical History and Physical Findings Indicate or Suggest Specific Male or Female Infertility Risk Factors and For Men Who Question Their Reproductive Potential.
opt for Semen Analysis - Check The Sperm Count, Motility, And Morphology
At A Minimum, The Initial Screening Evaluation of The Male Partner of An Infertile Couple Should Include A Reproductive History And Analysis Of At Least One Semen Sample. The Semen Analysis Provides Information on Semen Volume If Low As Well As Sperm Concentration, Motility And Morphology
Treatment For Male Factor Infertility Includes Treatment To Treat The Cause If Any Specific Cause Is Identified Or IUI, IVF, ICSI, IMSI Or Even Surgical Procedures Like PESA, TESA, TESE Etc Based On The Severity Of The Abnormalities In The Semen Parameters.
Azoospermia (Zero Sperm), Defined As The Absence Of Spermatozoa In The Ejaculate After The Assessment Of Centrifuged Semen On At Least Two Occasions, Is Observed In 1% Of The General Population And In 10 - 15% Of Infertile Men With A Low Volume Of Sperm.
Surgical Sperm Retrieval Techniques Are Applied In Azoospermia Cases Of Either Obstructive Or Non-Obstructive Etiology.
The Approach To Azoospermic Patients Has Changed Significantly With The Introduction Of Sperm Retrieval Techniques And Assisted Reproductive Technologies, Especially Intracytoplasmic Sperm Injection (ICSI). In Addition To Improving Pregnancy Rates Using Sperm From Ejaculated Semen, ICSI Has Provided New Possibilities For Achieving Pregnancy With Sperm Retrieved From The Epididymis Or Testis.
Surgical Sperm Retrieval Is Offered To Couple With Azoospermia:
1) PESA- (Percutaneous Epididymal Sperm Aspiration) Is Done In Case Of Blocked Ducts Leading To Azoospermia. Here, Under Local Anesthesia, A Needle Is Inserted In The Duct And The Sperms Are Aspirated.
2) TESE- (Testicular Sperm Extraction) Is Done In Case Of Non-Obstructive Azoospermia. Under Local/Short General Anesthesia, Sperms Are Obtained By Biopsy From Testes Directly.
3) TESA- (Testicular Sperm Aspiration) Is Done In Case Of Non-Obstructive Azoospermia. Under Local/Short General Anesthesia, Sperms Are Obtained From The Testes By The Relatively Less Invasive Procedure.
The Sperms Thus, Retrieved Are Used For ICSI