Write-up by Nirmala
The most widespread cause of azoospermia in India was previously smallpox. This infection injured the epididymis, leading to ductal obstruction. Fortunately, this certain illness is now of historical importance only, as it has been wiped out. Tuberculosis also harms the epididymis, causing azoospermia. Nevertheless, creating the right medical diagnosis of tuberculous epididymitis can be really difficult, given that it is frequently a silent as well as indolent illness. Gonorrhea, chlamydia, syphilis along with other STDs may also perform chaos with the man genital system leading to irreparable injury to its epithelium (inner lining).
Mumps may also trigger orchitis (inflammation of the testis) - particularly when this impacts younger males. This could result in considerable harm to the testes, making testicular failure if it damages both ovaries. Nonetheless, do keep in mind that not every single boy who gets mumps will have sperm issues as an adult.
How about other genital tract infections? A lot of patients ( and their doctors!) worry when the semen analysis report shows pus cells. This condition is known as pyospermia or leucocytospermia. Do bear in mind that a couple of pus cells in the semen are really typical and this finding does not mean you have a semen infection. Also, fertile men will frequently have round cells in their semen. These are not pus cells, but are sperm precursor cells ( spermatocytes). However, numerous labs are not capable of differentiating between pus cells and sperm precursor cells. They report these round cells as pus cells and doctors will then begin antibiotic treatment to "treat" this infection. This is a complete waste of time and money!
A lot of doctors will perform a semen culture as well when the semen sample contains numerous pus cells. If the examination is positive, then therapy with antibiotics will be implemented. Nevertheless, several of the organisms grown in these culture reports are not truly pathogenic organisms at all, but just regular commensals which colonise the genital tract and are discovered in normal fertile men as well. Thethe connection between the existence of bacteria inside the semen and male infertility continues to be cloudy. Do the bacteria really result in the infertility? Will dealing with the infection assist in improving fertility? Numerous much more questions than answers, when again! In my opinion, treating most of these "abnormal reports" does not support to strengthen the man's fertility at all.
About the Author
Male Infertility: Preventing Male Infertility, Male Reproductive System Male Infertility
Histopathology Testis--Orchitis and epididymitis
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