Treatment of reduced fertility and infertility: what on male fertility?

The key to treatment is accurate diagnosis and finding the cause of reduced fertility. Some genetic causes are not controllable, but currently most disorders are controllable in some way.

For proper sperm production and quality, it is necessary to create the right conditions in the testicles - sufficient blood flow and outflow, proper thermoregulation and appropriate hormonal conditions.

Treatment in most cases is a combination of conservative forms (lifestyle modification) and pharmacological treatment. In some cases, surgical treatment or assisted reproductive technology is necessary.

Pharmacological treatment

Medicamentous hormone treatment seeks to increase sperm production and the production of the hormone testosterone itself. Medicamentous treatment increases the production of luteinizing LH and follicle-stimulating hormone FSH to the maximum extent possible while stimulating the hormonal spermiogenetic activity of the testes.

Orally administered anastrozole increases the level of androgens and decreases the level of estrogens. It is particularly suitable for men with disturbed hormonal ratios.

Human gonadotropin (hCG) and menotropin (hMG) are injectable preparations. These are a form of the hormones LH and FSH.

For inflammatory conditions of the seminiferous tubules, antibiotics and non-steroidal antiphlogistic drugs can be used as part of the pharmacological treatment.

Surgical treatment

Modern times offer various surgical methods of the urogenital area. Its choice depends on a number of factors: the age of the patient, the state of health, the diagnosis, the spermogram and the specific cause of reduced fertility.

Surgical treatment is soon used for congenital disorders such as hypospadias. Surgery can also remove certain obstructions that prevent the presence of sperm in the ejaculate fluid.

It can also correct vascular conditions such as varicocele.

Surgical treatment today also offers solutions to erectile dysfunction and ejaculation disorders.

Current developments in surgical techniques allow physicians to optoelectronically enlarge the tissue and improve the quality of the evaluation of the seminal duct filling.

Monitoring the vascular supply of testicular tissue by Doppler technique allows a sample to be taken without damaging the testicular vessels.

In some cases of infertility, spermatozoa can be surgically obtained by aspiration and extraction directly from the testes and subsequently used in the artificial insemination of the female partner.

Conservative treatment

A healthy lifestyle and an appropriate diet are very important for positive male spermiogram results.

Regular physical activity, elimination of stress, sufficient regeneration of the organism, supplementation of minerals and vitamins and a balanced nutritionally complete diet.

It is advisable to increase intake:

• Vitamin C
• Vitamin D
• Folic acid
• D-aspartic acid
• Selenium
• Zinc
• Chromium
• Coenzyme Q10
• Vitamin B
• Vitamin E

It is also possible to take a variety of natural supplements to support fertility and male health. Specific herbs can have a beneficial effect on the circulatory system, blood circulation and penile erection, and ultimately support sperm quality itself.

The main representatives are maca peruviana and ginseng, as well as milk thistle, ginseng, ground anemone and serenoa creeper. However, it is advisable to consult a doctor when consuming these.

Not recommended:

• Smoking tobacco products
• Consumption of alcohol
• Use of drugs
• Use of marijuana
• Use of anabolic steroids
• Little physical activity
• Unhealthy unbalanced diet
• Frequent hot baths
• Tight clothing
• Overheating of the testicular area
• Working with a laptop on a frying pan