Though considered a touchy subject, erectile dysfunction (ED) is nothing to hide or suffer from in silence for either a man or his partner. According to the US National Institutes of Health, the number of men with ED is between 15 million and 30 million and this number is only going up.
Fortunately, apart from prescription drugs, men have a variety of alternative and herbal treatments to depend on. For example, the use of the herb ginkgo biloba is shown to have been successful to treat ED. Ginkgo improves blood flow to the penile veins and arteries and does not have the side effects.
Those with decreased libido can also take ginseng–a tonic herb capable of strengthening the body–which is also used as an aphrodisiac.
Another natural aid to relieve ED is amino acid L-arginine. It is used by the body to create nitric oxide, the chemical that relaxes blood vessels and in order to fight erectile dysfunction. L-Arginine is found in food sources such as meat, dairy products, poultry and fish.
However, before considering adding supplements and medications, men with ED should know that those who exercise regularly are less likely to develop impotence with age. Researchers at the New England Research Institutes of Watertown, Massachusetts, studied 593 men, aged 40-70 years, and found that men who burned at least 200 calories a day were less likely to develop ED than those who didn’t. This means that even minimal exercise is helpful when it comes to maintaining a healthy sex life.By Dr. Richa Sharma
Male factor is showing a rising trend these days and it can be multifactorial in origin ranging from Life style changes like smoking,alcohol intake,stress, genetic origin and in majority of cases cause not known which adds to the stress of couples further as when we know the reason we are pacified, problems arise when the underlying causative factor cannot be detected.
Till now male factor was more of considered to be undiagnosed and untreatable and also due to social inhibitions and mind set of people, male infertility was labeled to be as not treatable. With latest advances in the assisted reproductive techniques, solution has been found in such cases (depending upon the clinical scenario) so even males with no sperms can father like others.
Male factor infertility exists when there is failure to conceive, and, a persistently abnormal semen analysis and/or findings on exam associated with male factor infertility.
– In 20% of couples, an isolated male factor is present.
– In 40% of couples, both male and female factors are present.
Thus, in 60% of infertile couples, a male factor is at least partially responsible.
Normal male reproductive function requires adequate semen production and transport, delivery of sperm to the ovum, and, successful penetration of the ovum by the sperm. Abnormalities of any of these processes can lead to male factor infertility.
What is Azoospermia?
Azoospermia: means no sperms in the semen. It can be due to some obstruction (Obstructive azzospermia) or can be Non Obstructive Azoospermia depending upon the etiology.
What is MicroTESE?
MicroTESE is a new technique allowing targeted removal sperm (male gametes-shukranoo) forming tissue in males with nil sperms in semen analysis. Traditional methods of searching for Sperms (testicular biopsy, FNAC,TESE,TESA) have a poor success rates of finding sperms.
MicroTESE is done under general anaesthesia,under microscope such that the operative field is magnified by 25 times to search for the much precious sperms. It’s a milestone rather a miracle, a boon for male factor infertility. It can take over 3-4 hours of painstaking surgery.The sperms that are found can be used to get test tube baby(ICSI done-embryos formed). Conventional testicular biopsy involves taking multiple random testicular biopsies. Sites of spermatogenesis limited and not predictable.
Advantages of MicroTESE
Micro-TESE has the advantage of allowing microsurgical exploration of the entire testicular parenchyma to maximize the chance of finding sperm while• Sperm retrieval rates are higher
• Amount of tissue removed is less
• Testicular trauma is less
• Hormonal difference in testosterone after micro-TESE vs conventional is less
• This procedure is becoming standard of care for patients with NOA
It’s a fact that forty percent of infertility cases are caused by the male. One of many symptoms of infertility is the fact that one’s partner has failed to bear a child in the course of one year of having regular intercourse. There are various reasons for infertility, the most common being low sperm count. The average count is from 120 to 350 million sperm cells for every cubic centimeter. Low sperm counts are those that are lower than 40 million for every cubic cm.
Sometimes sperm count is alright but the sperm cells aren't healthy as in the case of those with poor motility and abnormal morphology. Reasons for Male Infertility Other reasons for male infertility are poor sperm motility, dilated veins in the scrotum, undescended testes and excessive exposure to substances called xenoestrogens such as chemicals with PCBs and DDT, as well as pesticides and other industrial pollutants that imitate estrogen effects. Congenital abnormalities, nutritional (especially protein) deficiency and urethral constriction are other factors. Infectious diseases of the reproductive parts such as the storage tube for sperm cells, testes, seminal vesicles, urethra or prostate and endocrine diseases affecting pituitary and thyroid glands may also induce infertility.
Increasing Male Fertility: 10 to 20 percent of the male population have low sperm counts. This is the first stumbling block that you need to get around with, either through natural means, and through infertility centers, when the former will not suffice to increase male fertility. Natural means include lifestyle overhauls such as quitting smoking and reducing caffeine and alcohol consumption. Processed food such as deli meats should also be avoided. You may also want to ditch artificial sweetener. Too much heat can also affect sperm count as heat suppresses sperm production, so you may well avoid long sessions in hot-tubs and saunas. Detoxify by drinking a lot of water. You should also exercise regularly to maintain weight and reduce stress and anxiety. Stress can be tolling on sperm count. However, be careful not to overdo it because overtraining may leave you exhausted and may also result to loss of sexual drive. When you are aiming for conception, ejaculate less regularly. Allow sperm to accumulate. You should also take natural supplements such as zinc, vitamin E and vitamin C. To improve sperm motility, amino acids such as L-arginine may help.