Male infertility can have multiple causes, such as:

• Low sperm production,
• A deficiency in the semen,
• Abnormal sperm,
• A blockage or obstruction in the passage, which prevents the delivery of sperm.

Factors of Infertility Among Men:

• Poor diet
• Lack of physical activity
• Obesity
• Smoking
• Excessive alcohol consumption
• Stress
• injuries
• illness/chronic health problems
• exposure to certain chemicals

Symptoms Of Infertility Among Men

Symptoms of male infertility include:

• Reduced sexual desire.
• Erectile dysfunction, i.e. difficulty in maintaining an erection.
• Difficulty in ejaculation or, a small amount of sperm.
• Other than these, a lump, swelling, or pain in the testicle area is another symptom of male infertility.

It’s crucial to pay attention to these symptoms.

Male Infertility: Diagnosis

With an early diagnosis, the issue can be tackled better. The initial diagnosis for male infertility involves:

• A full medical history.
• Physical examination.
• A blood test.
• General hormone tests.
• Semen analysis for sperm production and motility.
• Transrectal ultrasound.
• Testicular biopsy (if required).
• Hormonal profile.
• Post-ejaculation urine analysis (to detect if sperms are travelling backward into the urinary bladder).
• DNA fragmentation test.
• Sperm Aneuploidy Test (SAT) (to study the genetic background or cause of male infertility. It finds out chromosomal abnormalities in the sperm).

Some additional tests to help identify the cause of your infertility, include:

Scrotal ultrasound.

This test uses high-frequency sound waves to produce images inside your body. A scrotal ultrasound can help your doctor see if there is a varicocele or other problems in the testicles and supporting structures.

Transrectal ultrasound.

A small, lubricated wand is inserted into your rectum. It allows your doctor to check your prostate and look for blockages of the tubes that carry semen.

Hormone testing.

Hormones produced by the pituitary gland, hypothalamus and testicles play a key role in sexual development and sperm production. Abnormalities in other hormonal or organ systems might also contribute to infertility. A blood test measures the level of testosterone and other hormones.

Post-ejaculation urinalysis. 

Sperm in your urine can indicate your sperm are traveling backward into the bladder instead of out your penis during ejaculation (retrograde ejaculation).

Genetic tests.

When sperm concentration is extremely low, there could be a genetic cause. A blood test can reveal whether there are subtle changes in the Y chromosome — signs of a genetic abnormality. Genetic testing might be ordered to diagnose various congenital or inherited syndromes.

Testicular biopsy.

This test involves removing samples from the testicle with a needle. If the results of the testicular biopsy show that sperm production is normal your problem is likely caused by a blockage or another problem with sperm transport.

Specialized sperm function tests.

A number of tests can be used to check how well your sperm survive after ejaculation, how well they can penetrate an egg, and whether there’s any problem attaching to the egg. These tests aren’t often used and usually don’t significantly change recommendations for treatment.

Allopathic Treatment for infertility among Men

Often, an exact cause of infertility can’t be found. Even if an exact cause isn’t clear, the doctor might be able to recommend treatments or procedures that will lead to conception.

In cases of infertility, it’s recommended that the female partner also be checked. There may be specific treatments recommended for other partner too. Or, patient may learn that proceeding with assisted reproductive techniques is appropriate in his situation.

Treatments for male infertility include:

• Surgery

For example, a varicocele can often be surgically corrected or an obstructed vas deferens repaired. Prior vasectomies can be reversed. In cases where no sperm are present in the ejaculate, sperm can often be retrieved directly from the testicles or epididymis using sperm retrieval techniques.

• Treating infections

Antibiotic treatment might cure an infection of the reproductive tract, but doesn’t always restore fertility.

• Treatments for sexual intercourse problems

Medication or counseling can help improve fertility in conditions such as erectile dysfunction or premature ejaculation.

• Hormone treatments and medications

Your doctor might recommend hormone replacement or medications in cases where infertility is caused by high or low levels of certain hormones or problems with the way the body uses hormones.

• Assisted reproductive technology (ART)

  

ART treatments involve obtaining sperm through normal ejaculation, surgical extraction or from donor.

individuals, depending on your specific case and wishes. The sperm are then inserted into the female genital tract or used to perform in vitro fertilization or intracytoplasmic sperm injection.

When treatment doesn’t work

In rare cases, male fertility problems can’t be treated, the doctor might suggest that he and his spouse consider using sperm from a donor or adopting a child.

Homeopathic Treatment for Infertility Among Men

There are multiple treatment options available for male infertility.

• Firstly, Homeopathic doctors will advise to make lifestyle changes such as:

1. Quit smoking and chewing tobacco.
2. Quit alcohol.
3. Control diabetes.
4. Manage weight, etc.

• If there is an infection in the reproductive tract, Homeopathic treatment should be suggested.
• For addressing sexual intercourse problems, such as erectile dysfunction or premature ejaculation, medication or counseling can help.
• Problems such as azoospermia (zero sperm count), or oligospermia (very few sperm are produced). The latter can be caused by a blockage in the testes.

This can be addressed by a technique called testicular sperm extraction, in which doctors retrieve sperm from the testicles.

• Advancements in Assisted Reproductive Techniques (ART) have also helped.
• Among the most popular ART techniques are:

1. Intrauterine insemination (IUI),
2. In vitro fertilization (IVF),
3. Intracytoplasmic sperm injection (ICSI). 

Homeopathic Medication:

Selenium Metallicum

Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Cobaltum Metallicum

Male Sexual Organs. Frequent nocturnal seminal emissions. Impotence and nocturnal emissions without erections. Severe pain in testicle. Yellow-brown spots on the genitals

Anacardium Orientale

Anacardium Orientale helps in increasing the libido and cure for nocturnal emissions, treats anxiety. Infertility among men.

Calceria Carbonica

Frequent emissions. Increased desire. Semen emitted too soon. Coition followed by weakness and irritability. Premature ejaculation.

Damiana

Sexual neurasthenia; impotency. Infertility among men. Sexual debility from nervous prostration. Incontinence of old people. Chronic prostatic discharge. Renal and cystic catarrh; frigidity of females.

Sabal Serrulata

Prostatic troubles; enlargement; discharge of prostatic fluid. Wasting of testes and loss of sexual power. Infertility among men. Coitus painful at the time of emission. Sexual neurotics. Organs feel cold. 

X RAY

X Ray is one of the top medicines for infertility among men due to low sperm count. It helps to increase sperm count and improving the quality and quantity of sperms.

Nux Vomica

Nux vomica has proved excellent in Oligospermia. Bad effects of sexual excesses. Constrictive pain in testicles. Orchitis (bacterial and/or viral). Spermatorrhea, with dreams, backache, burning in spine, weakness and irritability. Azoospermia due to mental exertion, bad eating habits (carbonated drinks, fast food, processed and canned food etc), too much touch, red Chille, stimulants (especially allopathic), narcotics, dry weather, sever cold.

Hamamelis Virginiana

Venous congestion, hemorrhages, varicose veins, congestion of any cylindrical shaped organ, with bruised soreness of affected parts. Acts upon the coats of the cylindrical shaped organs causing relaxation with consequent engorgement. Passive venous hemorrhages from any part. Great value in open, painful wounds, with weakness from loss of blood. Pain in spermatic cord, running into testes. Varicocele. Pain in testicles. Orchitis. Testicles enlarged, hot, and painful. Epididymitis. Azoospermia.

Clematis Erecta

Acts especially on skin, glands and Genito-urinary organs, especially testicles. Muscles relaxed or twitching. Ilio-scrotal neuralgia. Testicles indurated with bruised feeling. Azoospermia. Swelling of scrotum (Orchitis). Right half only. Troubles from suppressed gonorrhea. Violent erections with stitches in urethra. Testicles hang heavy or retracted, with pain along spermatic cord; worse, right side.

Pulsatilla Pratensis

Orchitis; pain from abdomen to testicles. Azoospermia. Thick, yellow discharge from urethra; late stage of gonorrhea. Stricture: urine passed only in drops, and stream interrupted. Acute prostatitis. Pain and tenesmus in urinating, worse lying on back.

Agnus Castus

Diminution of sexual power. The penis is small and flaccid; so relaxed that voluptuous fancies excite no erection. Feeble erections without sexual desire.

The testicles are cold, swollen, hard, and painful. Impotence, with gleet (especially with those who have frequently had gonorrhea). Gleet, without sexual desire or erections. Emission of prostatic fluid when straining at stool; during micturition. Drawing along the spermatic cords. Pollutions from irritable weakness with prostatorrhea. Itching of the genital organs. Yellow discharges from the urethra. Gonorrhea, with suppressed sexual desire.

Argentum Nitricum

Cancer-like ulcer on prepuce. Ulcers on the prepuce; small, covered with pus; later, spreading, bowl-shaped, with a tallow-like coating. Impotence: erections but fail when coition is attempted. Want of desire, organs shriveled. Coition painful, urethra as if put oil stretch or sensitive at orifice.

Painful tension during erection, chordee, bleeding from urethra, and shooting in urethra from behind forward. Urethra swollen, hard, knotty, painful.

Spasmodic contraction of cremaster muscle, testicle drawn high up. Pain in testes and scrotum as from pins and needles. Azoospermia. Orchitis. Burning in spot in anterior of rectum (prostate gland).

Caladium

This remedy has a marked action on the genital organs, and pruritus of this region. Coldness of single parts and inclination to lie down, with aggravation on lying on left side. Excellent for smokers and tobacco chewers. Increases the sperm count rapidly, in smokers. Frequent erections, flow of prostatic fluid, nocturnal emissions; until waking. Genital organs flabby; no erections or sexual desire. Azoospermia. Varicocele. Masturbation and its consequences. Modifies craving for tobacco. Pruritus. Glans very red. Organs seem larger, puffed, relaxed, cold, sweating, skin of scrotum thick. Erections when half-asleep; cease when fully awake. Impotency; relaxation of penis during excitement. No emission and no orgasm during embrace.

Tabacum

Complete prostration of the entire muscular system. Collapse. Gastralgia. Arteriosclerosis. violent pain along ureter. Tabacum patient has frequent erections, flow of prostatic fluid, nocturnal emissions; until waking. Genital organs flabby; no erections or sexual desire. Varicocele. Masturbation and its consequences. Modifies craving for tobacco. Pruritus. Glans very red. Organs seem larger, puffed, relaxed, cold, sweating, skin of scrotum thick. Erections when half-asleep; cease when fully awake. Impotency; relaxation of penis during excitement. No emission and no orgasm during embrace.

Conium Maculatum

Swelling of the testes (after contusion). Cutting pain through scrotum to root of penis. Azoospermia. Lasciviousness. Impotence, insufficient erections, and absence of erections. Want of energy in coition. Erections imperfect, and of too short duration. Easy emission of semen, even without firm erections. Dejection, after coition.

Immoderate pollutions. Flow of prostatic fluid during evacuation, and after any mental emotion. With weakness of sexual organs, much sexual erethism, amatory thoughts, even emissions provoked by mere presence of women. Testicular injury Hydrocele, Varicocele, orchitis, effects of suppressed sexual appetite.

Dioscorea

Azoospermia. Relaxation and coldness of organs. Pains shoot into testicles from region of kidneys. Strong-smelling sweat on scrotum and pubes. Emissions in sleep, or from sexual atony, with weak knees.

Phosphoric Acid

Lancinating pains in glans, fine pricking at point of penis. Burning cutting in glans with an out-pressing pain in both groins, feeling of heaviness in glans, especially when urinating. Tingling and oozing vesicles round frenum. Sycotic excrescences with heat and burning.

Crop of warts on prepuce. A crop of pedunculated warts come round corolla glandes after taking Pho. ac. in summer drinks. Condylomas. Eruption on penis and scrotum. Inflammatory swelling of scrotum. Pain in testes when touched, gnawing pain. Azoospermia.

Swelling of testes. Spermatic cord – enlarged, hard, and tightened. Absence of sexual desire. Frequent erections (in morning in bed; in morning when standing), without desire for coition. Weakness of sexual organs, with onanism, and little sexual desire. Exhaustion after coition. Frequent and very debilitating pollutions especially where the patient is much affected by the flow.

Onanism; especially when patient is much distressed by the culpability of the act. Discharge of semen when straining during an evacuation.

Titanium Metallicum

Too early ejaculation.  sexual weakness. Too, early ejaculation of semen in coitus. Obstruction. Azoospermia.

Tribulus Terrestris

A very good medicine for patients in their mid 40’s having partial impotence caused by overindulgence. seminal weakness, ready emissions and impoverished semen. Prostatitis, calculous affections and sexual neurasthenia. It meets the auto-traumatism of masturbation correcting the emissions and spermatorrhoea. Partial impotence caused by overindulgence of advancing age, or when accompanied by urinary symptoms, incontinence, painful micturition, etc.

Lycopodium

It has proved its great value in sexual dysfunction (acquired and situational). Very effective in premature ejaculation.

Pain in the glans. Excoriation between scrotum and thighs. Dropsical swelling of genital organs. Immoderate excitement, or absence of sexual desire. Repugnance to coition, or disposition to be too easily excited to it.

Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Itching of the internal surface of the prepuce. Excessive pollutions, or absence of pollutions. Emission too speedy or too tardy during coition. Falling asleep during coition. Lassitude, after coition or pollutions. Flow of prostatic fluid, without an erection.

Tinospora Cordifolia

Proved its great value in anti-sperm antibody positive cases, it is an aphrodisiac, increases sexual potency, purifies sperm.

Nuphar Luteum

Nuphar Luteum will be advised when there is no desire of sexual activity …. totally absent -impotence, no sexual desire with relaxed genitalia, seminal discharges during passing stool or poop and in some cases while passing urine. Spermatorrhea. Pain in testicles and penis.

Sabal Serrulata

Prostatic troubles; enlargement; discharge of prostatic fluid. Wasting of testes and loss of sexual power. Coitus painful at the time of emission. Sexual neurotics. Organs feel cold. Promotes nutrition and tissue building. Chronic gonorrhea. Difficult urination. Cystitis with prostatic hypertrophy.

Carbon Sulphuratum

Desire lost, parts atrophied. Frequent profuse emissions. Abuse of alcohol.  Paralysis with intense congestion of nerve centers. Impotence.  Irritable, anxious, intolerant; stupor. Sluggishness of mind. Hallucinations of sight and hearing. Changeable mood. Dementia alternating with excitement.

P. S: This article is only for doctors and students having good knowledge about Homeopathy and allopathy.

For proper consultation and treatment, please visit our clinic.

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

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