Ojas Ayurved

Ayurvedic treatment for male infertility in Surat

Male Infertility

Overview:

  • Male infertility is a medical condition in which a male person tries for a year or more but is unable to conceive a child with a fertile female partner.
  • According to studies, there are almost 27 million couples in India who have infertility problems, out of which around one-third of infertility cases are due to male infertility.
  • Reasons behind male infertility are low sperm production (oligospermia), abnormal sperm function (poor motility), weak sperm structure (morphology), blockage in sperm transport tubules, testicular injuries, illness, chronic health problems, environmental factors, sedentary lifestyle, etc. 

Which men are more vulnerable to have  Male Infertility Treatment ?

There are various factors that can increase infertility issues in men. Below mentioned are those factors:

  • According to studies, men over the age of 40 have a 30% lower chance of conception.
  • The overconsumption of harmful substances like alcohol, tobacco, drugs, etc.
  • The utilization of anabolic steroids, specific medicines, surgical procedures, or alternative methods of treatment can have significant impact.
  • Increased heat and continuous high temperature near testis because of continuous bike, truck, bus, cycle driving, working at extreme heat places.
  • Prolonged exposure to radiation or other harmful substances such as lead, mercury, pesticides etc.
  • Issues such as stress, anxiety, overweight, diabetes, chronic health problems.

Causes Of Male Infertility

Azoospermia (Nil sperm count)

  • A complete absence of sperm from the fluid ejaculated during orgasm (Absence of sperm in semen). 
  • Azoospermia may occur because of an obstruction in the reproductive tract (vas deferens) or inadequate sperm production in testis.
  • This condition can cause male infertility.
Oligospermia

Oligospermia (Low Sperm Count)

  • Oligospermia is defined as decreased numbers of sperms in the semen (less than 15 million sperms/ml).
  • Low sperm count is caused by various viral or bacterial injections, hormonal imbalances, injuries or surgeries to the testicular area, ejaculatory problems and many more.
  • In this condition, achieving pregnancy naturally may be a challenge.
Asthenospermia

Asthenospermia (Low sperm motility)

  • A complete absence of sperm from the fluid ejaculated during orgasm (Absence of sperms in semen).
  • Azoospermia may occur because of an obstruction in the reproductive tract (vas deferens) or inadequate sperm production in the testis.
  • This condition can cause male infertility.
Morphology of Sperm

Teratozoospermia (Abnormal sperm form)

  • Teratozoospermia means an increase in abnormal sperm morphology (shape). The defect may be either in the head, body, or tail.
  • Teratospermia can be attributed to various factors including stress, genetic predisposition, chronic illnesses, smoking, alcohol consumption, drug abuse and an imbalanced diet.
  • Presence of sperm with abnormal morphology affects fertility in males.
Varicocele

Varicocele

  • When the veins that carry blood away from testicles become enlarged, it can lead to decrease in production of sperm both in terms of quantity and quality. As a result male infertility may occur.
Vas deferens obstruction

Vas deferens obstruction

  • Ejaculation of sperm is not possible in cases where the passageways connecting the testicles to the penis are obstructed.
  • Factors such as infections, inflammation or scarring resulting from previous surgeries or injuries can all play role in causing male infertility.

Hormonal Imbalance

  • Infertility may arise due to problems with hormone production or regulation.
  • Conditions such as thyroid disorders or hypogonadism could be contributing factors.
Medical issues

Medical issues

  • Male infertility can be more affected by various illnesses such as diabetes, hypertension, or sexually transmitted diseases.

Genetic defects

  • Genetic abnormalities can affect the production and quality of sperm, leading to male infertility. Conditions like Klinefelter syndrome, Y chromosomal deletions, and cystic fibrosis are among the genetic disorders that can contribute to this issue.

Lifestyle changes

  • Smoking, tobacco chewing, alcohol consumption, drug use, and exposure to chemicals in the environment are leading causes of male infertility.

Premature ejaculation

  • Orgasm (climax) and emission (discharge) of semen occurring just before or shortly after beginning sexual intercourse.
  • Premature ejaculation involves a complex interaction of psychological and biological factors which includes early sexual experiences, sexual abuse, poor body image, anxiety, depression, worry and guilty feelings, and erectile dysfunction.
  • Premature ejaculation can cause fertility problems if ejaculation doesn’t occur in the vagina.

Erectile Dysfunction (Impotence)

  • Erectile dysfunction occurs when a man can’t get or keep an erection firm enough for sexual intercourse.
  • Disease and condition can lead to ED which includes diabetes, high blood pressure, heart disease, injury to penis, prostate, spinal cord or pelvis.
  • Erectile dysfunction causes stress, relationship strain, low self-confidence, and male infertility.

How to diagnose male infertility?

  • Medical history: Your physician may also inquire about your sexual behaviors and the progression of your sexual development during adolescence.
  • Physical examination: This consists of examining your reproductive organs and inquiring about any genetic conditions, chronic health issues, illnesses, injuries, or surgeries that could potentially impact fertility.
  • Semen analysis: Examining a semen sample to count the sperm, evaluate their motility, and determine their morphology is part of the process. This test is designed to help identify issues such as low sperm count, poor sperm motility, and irregular sperm shape.
  • Ultrasound Sonography (USG): The male reproductive system can be visualized through ultrasound images of the testicles, epididymis, vas deferens, prostate, and seminal vesicles. This diagnostic tool is useful in detecting structural irregularities like blockages or varicoceles.
  • Hormone testing:The evaluation of hormone levels related to sperm production can be achieved through blood tests. These tests can measure the concentrations of various hormones, namely testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin. Any deviations in these hormone levels may impact the creation of sperm.
  • Genetic testing: Genetic testing can be used to detect various genetic anomalies such as Klienfelter syndrome, Y chromosomal deletions, cystic fibrosis that may affect male infertility.
  • Testicular biopsy: A testicular biopsy involves the extraction of a small portion of testicular tissue in order to investigate the process of sperm development and generation. This diagnostic procedure is effective in identifying issues such as inadequate sperm production or concerns related to maturation. 

Ayurvedic concept on male infertility:

The Charak Sanhita, an ancient book dating back almost 2500 years, contains a detailed description of male infertility.

Acharya Charak gave below mentioned factors for low sperm count and low semen volume:

जरया चिन्तया शुक्रं व्याधिभि: कर्म कर्षणात् |

क्षयं गच्छति अनशनात् स्त्रीणां च अतिनिवेषणात् ||    चरक संहिता  2/4/43

  • जरया – old age
  • चिन्तया – anxiety and stress  
  • व्याधिभि: – obesity, diabetes, anemia 
  • कर्म कर्षणात् – excessive hard work
  • अनशनात् – fasting, malnutrition
  • स्त्रीणां च अतिनिवेषणात् – frequent ejaculation
 

चिकित्सा (Treatment):

  • शोधन चिकित्सा:
विबध्दमार्ग द्रष्टवा वा शुक्रं दद्यात् विरेचनम् |    चरक संहिता चि. 28/94

Virechana treatment is useful in treating patients having obstruction in sperm transport tubules.

  • शमन चिकित्सा:
हर्ष अन्नपानं शुक्रस्थे बल शुक्रकरं हितम् |     चरक संहिता चि. 28/93

Happiness, a healthy diet and herbs which improve sperm quality and quantity are key to improve male infertility.

Ways of treatment for male infertility

  • Counseling: Couples struggling with male infertility may benefit from counseling, as the experience of infertility is both stressful and emotional.
  • Lifestyle modifications: Lifestyle modifications such as quitting alcohol, tobacco, and smoking, taking up a healthy diet, and avoiding excessive exposure to environmental toxins may help to improve fertility and improve sperm quality and quantity.
  • Medications: Herbs such as Shatavari, Ashwagandha, Yashtimadhu, Kaucha, Gokshur, etc are useful in improving sperm motility.
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