Dr. Do Tien Dung (Department of Obstetrics, Post Hospital) shared: “Every day at the clinic we encounter many cases of infertility advice after 1-2 years of normal sex but have never been pregnant..Eliminate the cause of the wife, there are nearly half of the infertility causes from the husband. ”
In the past, when it comes to infertility, people mainly think of the cause from the woman.Currently, science has proven the cause of infertility in women with 40%, 40% from men, 20% from both or unknown reasons.
According to statistics of the World Health Organization (WHO), Vietnam is one of the countries with high infertility rates in the world, of which 50% of the cases are under the age of 30. In Vietnam, in Vietnam,Each year, about one million infertility and infertility couples account for about 7.7%.The percentage of infertility is 40%, because women account for 40%, 10% due to both husband and wife and 10% of unknown reasons.This shows that the cause of infertility comes from both men and women.
According to Dr. Do Tien Dung: Infertility is defined as the situation of husband and wife after 1-2 years of marriage, sex on average 2-3 times/week, do not use any method of contraceptionWhich wife is still not pregnant.
Infertility may be due to the fact that the wife or the husband or the husband and the wife.
Male infertility accounts for about 40% of infertility cases, of which sperm abnormalities are the most common cause.To determine this, it is necessary to do semen tests.Specifically, unusual cases of semen can be encountered such as sperm, sperm, sperm deformity ..., in which the little and weak sperm is the most common problem (21%), no sperm(15%), deformed sperm (10%).
In addition, the whole body factor can affect sperm factors such as:
Patients with a history of trauma (injury, testicular twisting, testicles) increases the risk of no sperm without sperm.
Patients with a history of sexually transmitted disease also increases the risk of male infertility.
Every year, in Vietnam, there are about 1 million infertile couples and 50% of them are under 30 years old.
Too age (after age 55)
Poisoning (lead, cigarettes ...), medication, heat affecting sperm quality and pregnancy.
Factors related to the frequency of sex, the time of sex with ovulation.
Some other causes include:
Reverse ejaculation:Often appear after the pathology of bladder neck, surgery in the neck of the bladder;After cutting the prostate;Patients with diabetes;sequelae of spinal cord injury
No ejaculation: Most of the reason is psychiatric, sometimes due to spinal cord damage.- No sperm due to clogging: accounting for about 10% of male infertility, the cause of vasectomy, clogging of the epididymis, no congenital vasectomy ... The second is due to testes, such as testicles, such as testes,Hidden testes, some chromosomal disorders ...
Due to secondary clogged: Mainly due to inflammation (most injured between the epididymis and vasectomy, the main cause is due to the diseases that can be transmitted through sex), the vasectomy, surgery to treat inguinal hernia)
Male infertility due to immunity: Infertility male immunity is due to antibodies against sperm.This antibody can be found in serum or in semen.Women can detect antibodies against sperm in cervical mucus.These are surface antibodies.These antibodies themselves do not cause infertility but when combined with other factors, they cause infertility.According to some recent studies of Tu Du Hospital, about 1% of these antibodies have been found in couples who are not infertile, while this rate is 3-15% in wivesThe husband is infertile, 30% in people who have been infected or have surgery in the genital area, 60% of those who have vasectomy.
Although the phenomenon of infertility increases, but with the advancement of medicine, there have been many measures to treat this disease, including:
Medication: The drug can be used to treat a number of problems affecting male fertility such as hormonal imbalance and erectile dysfunction.
Surgery: Surgical method can help treat congestion in vasectomy or varicose veins in the testes.
In addition, you can also apply reproductive support methods(Art)Including all methods of treating infertility, both eggs and sperm are used.Some common methods are:
Method of sperm pump directly into the uterus (IUI)
The method of injecting sperm into eggs (ICSI)
Test fertilization method (IVF)
Use sperm or donated eggs.
The earlier the infertility examination and treatment will help the patient take advantage of "gold time", the success rate is higher, minimizing the difficulties and costs due to prolonged treatment
According to Dr. Dung, infertility, infertility can still be treated if detected early and applied modern and appropriate supportive and interventions.Therefore, the early examination is very important and necessary to increase the chance and realize the dream of being a parent for couples.