Male Infertility A child of my own - Andrology Australia

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First published in May 2004by Andrology Australia3rd Edition, January 2011© Copyright 2011, Andrology AustraliaHealth information in this booklet describesMALE INFERTILITY. Diagnosis and treatmentoptions are described to help men and theirfamilies understand the health problem, makemen aware of the available treatment options,and to help make talking with their doctor easier.The information contained in this booklet isbased on up-to-date medical evidence. It hasbeen provided for educational purposes only.It is not intended to take the place of a clinicaldiagnosis or medical advice from a fully qualifi edhealth professional. Andrology Australia urgesreaders to seek the services of a qualifi ed healthprofessional for any personal health concerns.Although the information in this booklethas been carefully reviewed, AndrologyAustralia does not take any responsibilityfor any person using the information oradvice available in this booklet. Informationis given on the understanding that users takeresponsibility for checking the relevance andaccuracy of the information.Andrology Australia (The Australian Centreof Excellence in Male Reproductive Health -www.andrologyaustralia.org) is an initiativefunded by the Australian GovernmentDepartment of Health and Ageing.
MALE INFERTILITYInfertility – Not just a female problem!Men are often shocked to discover that difficulties inhaving a baby are because of reproductive problems onthe male side.Problems with the number or quality of sperm beingmade can stop many couples from becoming pregnant.It is estimated that in Australia, male infertility affectsabout one in every 20 men. Despite the popularbelief that infertility is usually because of female(gynaecological) problems, in about one in five infertilecouples, there are problems relating only to the male.Talking with yourdoctor aboutpersonal healthconcerns is thefirst step towardsimproving yourhealth and qualityof lifeCoping with male infertility can be very difficult.Men can often become stressed and frustrated as innearly half of cases, doctors can find no reason for poorsperm production.Today many infertile men become the fathers of healthychildren. Some men, when the reason for their infertilitycan be explained and fixed, have treatment and thenconceive naturally. Others use assisted reproductivetechnologies, donor sperm, adoption or foster parenting.MALE INFERTILITY 1
Page 1: MALEINFERTILITYA CHILD OF MY OWNA B
Page 5 and 6: MALEREPRODUCTIONWhat are sperm?Sper
Page 7 and 8: Before birth, the developing testes
Page 9 and 10: Cross-section of sperm-producing tu
Page 11 and 12: The levels of FSH and LH in the blo
Page 13 and 14: Where can sperm production go wrong
Page 15 and 16: SIGNS &SYMPTOMSWhat is male inferti
Page 17 and 18: CAUSESWhat are the known causes of
Page 19 and 20: Sperm productionproblemsBlockage of
Page 21 and 22: DIAGNOSISHow is male infertility di
Page 23 and 24: Ultrasound may be used if the teste
Page 25 and 26: SpermnumbersLow orzeroLow orzeroLow
Page 27 and 28: Another blood test which can be don
Page 29 and 30: What if no cause is found?For most
Page 31 and 32: temporarily lower a sperm count for
Page 33 and 34: using methods approved by the World
Page 35 and 36: TREATMENTCan male infertility be tr
Page 37 and 38: Treatable causes of male infertilit
Page 39 and 40: What about assisted reproductive te
Page 41 and 42: not affecting sperm production or t
Page 43 and 44: ecome pregnant avoid exposure to an
Page 45 and 46: HAVINGA FAMILYWhat are the chances
Page 47 and 48: very low sperm counts who previousl
Page 49 and 50: What issues need to be thought abou
Page 51 and 52: Childhood developmentLarge studies
Page 53 and 54:
Chances of finding sperm are low fo
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Semen collectionFor most types of I
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What are the success rates with ART
Page 59 and 60:
Adoption of babies and children fro
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Most men also feel the need to unde
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attention is paid to the infertile
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APPENDICESMALE INFERTILITY 63
Page 67 and 68:
What are the risks of hormonal trea
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Most men with Klinefelter’s syndr
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What are other considerations for m
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Even when this problem is surgicall
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How do sexually transmitted infecti
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APPENDICESTORSION OF THE TESTISWhat
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APPENDICESHEATHow does temperature
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APPENDICESVARICOCELEWhat is a varic
Page 83 and 84:
APPENDICESSPERM ANTIBODIESWhat are
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What are the risks of medicine trea
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Alternatively, sperm can be collect
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APPENDICESABSENCE OF VAS DEFERENSWh
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APPENDICESERECTION &EJACULATION PRO
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What are the risks with erectiledys
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What are the risks of ejaculation t
Page 97 and 98:
How does chemotherapy affect fertil
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Where can sperm be stored?Sperm is
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Environmental and chemical agents,
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APPENDICESRADIATIONHow does radiati
Page 105 and 106:
SUPPORTThis booklet gives informati
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Websites of relevanceAccessAustrali
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chromosomes Structures in each cell
Page 111 and 112:
oligozoospermia (or oligospermia) A
Page 113 and 114:
spermaturia Spermaturia is the rele
Page 115 and 116:
AUTHORSProfessor Robert McLachlanMM
Page 117 and 118:
Assisted reproductive technologies
Page 119 and 120:
7Halliday, JL, Ukoumunne OC, Baker
Page 121:
Postal address:Andrology AustraliaM
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