Male Infertility Specialist in Cleveland, OH
Statistically, about 15% of couples are unable to get pregnant during the first year of unprotected intercourse. In one-third of couples, the man and woman contribute equally to the difficulty conceiving, and in another third of couples, only the man contributes to the infertility. Cleveland area men who contribute to the difficulty conceiving usually have some abnormality in sperm production or delivery that can be identified on a male fertility evaluation. For a male fertility evaluation contact our Cleveland, Ohio office, we also see patients from Hudson, Lyndhurst and Beachwood, OH.
What is Male Infertility?
Male Infertility is the inability of a man to conceive. Infertility can be caused by either partner, or even by both of them. If the male partner is the source of these issues, then this is known as a case of male infertility.
Male infertility does not mean that the man is unable to impregnate his female partner, it simply means that he has a decreased likelihood of doing so.
What Causes Male Infertility?
Conception is a lengthy process that requires a lot of unique events to occur in perfect order at exactly the right time. This leaves room for lots of potential problems along the way.
Problems with the Sperm
Typically, if a man is having fertility issues it can be linked back to how healthy his sperm are. Examples of abnormalities in sperm include:
- Sperm that is oddly shaped
- Sperm that is produced in small quantities
- Sperm that is unable to develop fully
- Slow sperm, or sperm that does not travel in the correct direction
- An inability to produce any sperm at all
There are several possible sources to abnormal or defective sperm. Some medications used to treat common illnesses like high blood pressure, depression, infections, arthritis, digestive diseases, or cancer can alter the sperm’s functionality.
Low hormone levels are another potential cause of male infertility since a lack of crucial male hormones can lead to low sperm count or poor sperm growth.
There have also been cases wherein the antibodies in a man’s body mistakenly attack the sperm. It is not clear as to what causes the antibodies to perceive the sperm as a threat, but immunological infertility is typically seen in those recovering from a surgery, injury, or type of infection.
What If the Sperm are Healthy?
Even with great sperm, some men can still experience problems in conceiving a child such as having a blockage within the reproductive tract that may have been caused by a congenital or acquired defect.
Swollen veins in the scrotum called varicoceles are also thought to worsen a man’s fertility functions. These varicoceles supply the scrotum with excess blood, which overheats the scrotum and kills many of the sperm living inside.
Men who suffer from retrograde ejaculation are unable to get their sperm to the woman’s egg because instead of exiting through the urethra, the sperm is directed back into the man’s bladder. Retrograde ejaculation is caused by issues of the nervous system and is characterized by a “dry” ejaculation.
How can the cause of male infertility be determined?
In order to appropriately treat a case of male fertility, Dr. Thirumavalavan will first need to diagnose the source of the problem. To determine the cause of your male infertility, Dr. Thirumavalavan takes a comprehensive health history. He may also order tests that include:
- Blood work to test for hormones or infection
- Semen tests to identify characteristics of sperm
- Penile fluid culture to test for infection
This process will typically begin by checking the patient’s sperm to see if it indeed healthy or not. If the exact cause is still unclear after this initial investigation then further tests will need to be conducted to determine what is preventing the sperm from reaching or properly fertilizing the partner’s egg.
Our staff members know this can be a sensitive issue. Therefore, we strive to offer compassionate support for each couple under their care.
Expert Treatment in Cleveland for Male Infertility
Again, based on the particular source of the man’s fertility issues, recommended treatment will vary. Cleveland Men’s Health expert Nannan Thirumavalavan, MD may recommend lifestyle changes such as smoking cessation, reducing alcohol consumption, or weight loss. Some male infertility cases will require surgery to treat, while others will not. In order to discover the best solution for yourself and your partner, you will both need to have a thorough discussion with Dr. Thirumavalavan at his offices throughout the Cleveland and Northeast Ohio area.