• Friday, October 18, 2024
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Getting pregnant with challenge of erectile dysfunction and azoospermia

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Quite commonly, a man is virile but doesn’t produce sperm at all and thus unable to impregnate his wife.

Although virility doesn’t often equate to fertility, having erectile dysfunction can affect your sexual health and ability to have children.

The inability or trouble getting or maintaining an erection can make it difficult or impossible to have intercourse, but it doesn’t necessarily mean that you are infertile.

Quite a large number of men experience erectile dysfunction, especially with advancing age. If you fall within this group, you don’t have to live with it because there is treatment.

To achieve a full erection, your organs need to work in a coordinated fashion. You may have trouble getting an erection if you experience blood vessel or heart disease or depression or other mood disorders and stress.

But chances are that even if you’re virile but you’ve been trying to get your partner pregnant for at least a year without success, you may be dealing with infertility. The problem could be from either of you or both of you combined, more so if you are having problems producing or releasing sperm.

Actually, the cause of your infertility may be unclear. When you’re dealing with infertility as a man, there could be other symptoms, in addition to sexual function. Things such as, reduced desire, swelling in the scrotum, and trouble ejaculating are instances.

If you’re having erection issues, the first thing to do is to see your doctor or urologist. Although talking about impotence may be difficult, it’s important that you get treated. An untreated erectile dysfunction problem can not only put a strain on your relationship but prevent you from having children.

First you would undergo a physical examination, then your doctor may order lab tests (such as a testosterone level, blood sugar) to look for diseases such as diabetes mellitus, heart disease, or hormonal problems that could be causing your erection issues. Based on the results, you may be recommended for a suitable treatment plan.

Erectile dysfunction is not always permanent, sometimes, simply making a few changes to your lifestyle is all it takes. In addition, if you are exercising regularly, losing weight, and cutting back on alcohol, you would be at an advantage towards treating your condition.

However, if these methods don’t work, your doctor might prescribe a more sophisticated medication that increases blood flow to the penis to produce an erection.

Mind you, all these help the physical problem, if it is emotional, seeing a counselor can help you deal with the issues and your partner’s cooperation is essential. In the event that you’ve been trying to conceive for at least a year with no luck, you’ll need to undergo other tests used to diagnose infertility.

Among these are blood tests to check hormone levels, genetic testing, semen analysis, etc. The point here is that your treatment will depend on what’s causing the problem. In many instances, IVF is commonly adopted as treatment.

All hope is not lost even if you’re having erectile dysfunction combined with azoospermia (zero sperms). Naturally, sperms are made and stored in your testicles. If there is a blockage somewhere in your reproductive system, tests such as a testicular biopsy are often performed to assess whether any sperm are present in the first place. Even very low levels of sperm production may allow for attempts at IVF using ICSI.

There are various treatment options but this particular approach will allow you to successfully achieve pregnancy in cases of obstructive or nonobstructive azoospermia.

Sperm that is removed from the epididymis or the testicle may look excellent but is incapable of fertilizing an egg since it has not undergone the final changes that result in fully capacitated sperm. To obtain sperm for use in IVF/ICSI, a needle aspiration of the testis or epididymis can be performed under local anesthesia.

Occasionally, the sperm retrieved through a testicular biopsy or needle aspiration is of poor quality and a repeat testicular biopsy is usually done on the day of egg collection for IVF.

The use of a cryopreserved specimen from an anonymous sperm donor may be considered as a backup plan.

If you are still having doubts about whether a man with azoospermia can have genetic children, doubt no more. With assisted reproductive technology, and sometimes surgery, you can still have genetic offspring. Alternatively, using a sperm donor, embryo donor is effective.

The most common way to talk about azoospermia is in reference to whether it’s caused by a blockage or not. If you have a history of sexually transmitted infection, tell your doctor, even if it was in the past.

A full fertility evaluation of your partner is also needed, as that will affect which treatment path is best for you. Genetic testing and counseling may also be recommended.

A possible fertility treatment option for azoospermia is a sperm donor. You may choose to go with a sperm donor for various reasons. Another possible option is using an embryo donor.

Receiving a diagnosis of azoospermia can be very emotionally difficult. When this diagnosis also comes with additional news—like the diagnosis of a genetic condition or the risk of passing on an inheritable disease to your future children—it can be even more distressing.

In such circumstances, counseling helps. A therapist can help you cope with the diagnosis, and also help you consider your options for the future.

Erectile dysfunction azoospermia and infertility can be hard to discuss, even with your doctor, but only by being open can you obtain help to improve your sex life and ensure you get the correct treatment for your infertility problem.

There is no need for shame or embarrassment about male infertility diagnosis. Azoospermia is a severe cause of male infertility, but there are possible treatment options. With the modern reproductive health techniques discussed previously, you can have a genetic child after a diagnosis of azoospermia.

 

Abayomi Ajayi

MD/CEO Nordica Fertility

[email protected],

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