Male fertility
A growing concern
In Belgium, male infertility is a growing concern. This reflects trends in Western countries.
Recent studies show a significant decline in sperm concentration,with a decrease of more than 50% between 1973 and 2018. This decline is not only a problem for sperm count, but also affects their quality.
This problem is linked to environmental factors such as exposure to endocrine disruptors, lifestyle factorssuch as smoking and stress, and the increase in obesity.
If this trend continues, fertility problems could worsen, leading to a future where men find it difficult to have children without medical assistance.
Diagnosis and treatment of subfertility in men
Male subfertility
Male subfertility is more common than you might think and can be a source of stress for couples trying to conceive. Fortunately, there are solutions. If you have been trying to conceive for a year without success, it is essential to consult a specialist for a full diagnosis.
We work closely with the Clinique Saint-Jean Fertility Center to offer you integrated, personalized care.
The importance of an accurate diagnosis
An accurate diagnosis is the first essential step in understanding the causes of subfertility and determining the appropriate treatment. This requires a number of tests:
–Spermogram: This test is crucial for analyzing the quality and quantity of spermatozoa in the semen. It allows a number of parameters to be assessed, such as the volume, concentration, motility, and morphology of the spermatozoa. The spermogram is often the first test performed, as it provides important information about the man's reproductive capacity.
– Blood tests: These include a hormone test to check the hormone levels that regulate sperm production, an infection test to detect any infections that may affect fertility, and a genetic test to look for chromosomal or genetic abnormalities that may explain subfertility.
– Scrotal ultrasound: This test checks the condition of the testicles and surrounding structures to detect abnormalities such as varicocele (enlarged veins) or other physical problems.
– Transrectal ultrasound of the prostate: This examination is used to assess the prostate and seminal vesicles and can detect obstructions or abnormalities that may interfere with ejaculation or sperm production.
– MRI of the prostate/pelvis: This imaging test may be necessary to obtain a better view of the pelvic structures and prostate, especially if obstruction or complex abnormalities are suspected.
These tests provide a comprehensive overview of reproductive health and identify the precise cause of subfertility.
Available treatments
Once the diagnosis has been made, a number of treatments can be considered, depending on the causes identified:
– Medication: These may be prescribed to improve sperm quality and production, especially if a hormonal imbalance or infection has been identified.
– Micro-TESE (Testicular Sperm Extraction): This surgical procedure is used to extract sperm directly from the testicles, even in cases of azoospermia (absence of spermatozoa in the semen).
Each case is unique, and we take the time to discuss the best treatment options for your specific situation with you.
Related articles
1 Are you in good sexual health?
2 The influence of good hygiene in fathers on the health of their offspring.