Andrology

Andrology (Male Infertility)

Andrology is the medical specialty focused on male reproductive health, particularly the study and management of conditions related to male fertility and sexual function. It encompasses a broad range of issues affecting the male reproductive system, including infertility, erectile dysfunction, and hormonal imbalances. Andrologists specialize in diagnosing and treating male infertility, which refers to the inability of a man to achieve pregnancy in a fertile female partner. Male infertility can result from various factors, including abnormalities in sperm production, sperm transport, or sperm function. Common causes of male infertility include low sperm count , poor sperm motility and abnormal sperm morphology. Additional tests such as hormonal assays, genetic testing, and imaging studies may be conducted to further evaluate the reproductive system.

Symptoms of Andrology (Male Infertility)

  • Difficulty Conceiving : The primary symptom of male infertility is the inability to conceive a child with a fertile female partner after regular, unprotected intercourse for an extended period, typically for one year or more.
  • Abnormal Semen Analysis : A comprehensive semen analysis is typically the first step in evaluating male infertility. Abnormal sperm morphology (teratospermia): Sperm with structural abnormalities, which can hinder their ability to penetrate and fertilize an egg.
  • Sexual Dysfunction : Difficulty achieving or maintaining an erection sufficient for intercourse. Ejaculation that occurs too quickly, before or shortly after penetration. Difficulty ejaculating or achieving orgasm.
  • Testicular Abnormalities : Physical abnormalities of the testicles or scrotum may be associated with male infertility. Enlarged veins in the scrotum, which can impair sperm production and quality.
  • Reproductive System Abnormalities : Structural abnormalities of the male reproductive system, such as blockages in the vas deferens or congenital defects, may contribute to infertility and can sometimes be detected during physical examination or imaging studies.

Risk Factors for Andrology (Male Infertility)

  • Advanced Age : As men age, sperm quality and quantity may decline. Advanced paternal age (typically over 40 years old) has been associated with reduced sperm count, decreased sperm motility, and increased DNA damage in sperm, all of which can contribute to infertility.
  • Varicocele : A varicocele is a swelling of the veins that drain the testicle, similar to varicose veins that occur in the legs. Varicoceles can disrupt sperm production and quality, leading to male infertility. They are among the most common correctable causes of male infertility.
  • Hormonal Imbalances : Hormonal imbalances, such as low testosterone levels (hypogonadism) or elevated levels of prolactin or estrogen, can affect sperm production and fertility.
  • Sexual Dysfunction : Erectile dysfunction, premature ejaculation, or other sexual disorders can interfere with a man's ability to achieve or maintain an erection or ejaculate, contributing to infertility.
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