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What is Male Infertility? Male infertility is any health issue in a man that lowers the chances of his female partner getting pregnant. About 13 out of 100 couples can't get pregnant with unprotected sex. There are many causes for infertility in men and women. In over a third of infertility cases, the problem is with the man. This is most often due to problems with his sperm production or with sperm delivery. What Happens Under Normal Conditions? The man's body makes tiny cells called sperm. During sex, ejaculation normally delivers the sperm into the woman's body. The male reproductive system makes stores and transports sperm. Chemicals in your body are called hormones to control this. Sperm and male sex hormone (testosterone) are made in the 2 testicles. The testicles are in the scrotum, a sac of skin below the penis. When the sperm leave the testicles, they go into a tube behind each testicle. This tube is called the epididymis. Causes Making mature, healthy sperm that can travel depends on many things. Problems can stop cells from growing into sperm. Problems can keep the sperm from reaching the egg. Even the temperature of the scrotum may affect fertility. These are the main causes of male infertility: Sperm Disorders Varicoceles Retrograde Ejaculation Immunologic Infertility Obstruction Hormones Medication Symptoms The main sign of male infertility is the inability to conceive a child. There may be no other obvious signs or symptoms. In some cases, however, an underlying problem such as an inherited disorder, hormonal imbalance, dilated veins around the testicle or a condition that blocks the passage of sperm causes signs and symptoms. Signs and symptoms you may notice include: Problems with sexual function — for example, difficulty with ejaculation or small volumes of fluid ejaculated, reduced sexual desire, or difficulty maintaining an erection (erectile dysfunction) Pain, swelling or a lump in the testicle area Recurrent respiratory infections Inability to smell Abnormal breast growth (gynecomastia) Decreased facial or body hair or other signs of a chromosomal or hormonal abnormality A lower than normal sperm count (fewer than 15 million sperm per milliliter of semen or a total sperm count of less than 39 million per ejaculate) Diagnosis Causes of male fertility can be hard to diagnose. The problems are most often with sperm production or delivery. Diagnosis starts with a full history and physical exam. Your health care provider may also want to do blood work and semen tests. Treatment Treatment depends on what's causing infertility. Many problems can be fixed with drugs or surgery. This would allow conception through normal sex. The treatments below are broken into 3 categories: Non-surgical therapy for Male Infertility Surgical Therapy for Male Infertility Treatment for Unknown Causes of Male Infertility Many male fertility problems can be treated without surgery. Anejaculation (dry ejaculate) Anejaculation is when there's no semen fluid released with a man’s sexual climax. It's not common, but can be caused by: spinal cord injury prior surgery diabetes multiple sclerosis abnormalities present at birth other mental, emotional or unknown problems After Treatment Male infertility can often be fixed with an outpatient procedure. These are done under general anesthesia or IV sedation. While pain after surgery is usually mild, recovery and follow-up vary. After varicocele repair, your health care provider should do a physical exam. This is to see if the vein is completely gone. Often the veins stay enlarged, since they are not removed during surgery but only closed off to prevent abnormal blood flow. Semen should be tested about every 3 months for at least a year, or until pregnancy. If your varicocele returns, or you stay infertile, ask your health care provider about ARTs. #MaleInfertility #MaleInfertilityReasons #InfertilityInMen #IVFInJalandhar #IVFInAmritsar #IVFTreatmentCenter #IVFCenter