Commonly the specialization of the Andrologist is confused with that of the Urologist, however, they are completely different. While the Andrologist takes care of sexual and reproductive health, the Urologist is specifically in charge of diseases of the urinary system and male reproductive system.
The specialist will determine the causes of male infertility, among which may be:
Obstructions A blockage of the transport routes of semen and sperm due to a hereditary anatomical variant or vasectomy (ligation of vas deferens).
Hereditary factors Semen can have an anatomical abnormality that prevents them from reaching a normal sperm count. Other irregularities include problems with sperm mobility, which can also keep them from reaching expulsion through ejaculation or reaching the egg for fertilization.
Undescended testicles A condition where a testicle does not descend into the scrotum after the first month of birth, which must be treated from an early age to prevent fertility problems.
Varicose veins in the scrotum (varicocele) The formation of dilated veins in the scrotum can create problems of obstruction and functionality of the pathways that carry sperm. The pressure of the veins increases the temperature in the testicles, weakening the semen.
Hormonal disorders Gonadotropins, the same hormones that create testosterone, are two of the most important hormones when it comes to male reproductive health. Hormonal disorders in men are not usual, however, imbalances can be seen in those who do excessive exercise, consume anabolic steroids, or that have certain health issues, like diabetes.
Sexual dysfunction & disorders Impotence or erectile dysfunction, ejaculation disorders (premature, delayed, or failed ejaculation), orgasm disorders (anorgasmia), altered libido (anaphrodisia), and sexual arousal disorders.
Age The quantity, quality, and reproductive power of semen decrease as men age, most significantly after 50.
Weight Obesity and anorexia produce hormonal alterations, hence decreasing the quality and quantity of sperm or even leading to sterility due to the lack of a nutritious diet.
We have different treatments for men dealing with fertility problems, including: