Do you want to know What if sperm is not released means and how it relates to male infertility and health issues? If yes, then welcome because you are on the right spot because, in this article, we will be going to discuss it.
Problem with sperms
Sperm may be insufficient in quantity, travel too slowly, has anatomical abnormalities, or exit from the body may be prevented or interrupted.
- An increase in testicular temperature, certain diseases, accidents, and certain medicines and poisons may cause sperm issues.
- Semen is examined, and genetic testing is occasionally performed.
Although the fertility medicine clomiphene may enhance the quantity of sperm, assisted reproductive procedures may be required.
To be fertile, a male must be able to transfer a sufficient amount of normal sperm to a woman’s vagina, and the sperm must be capable of fertilizing the egg. Conditions that disrupt this mechanism may reduce a man’s fertility.
Causes of Sperm Problems
Conditions that raise the temperature of the testes (where sperm are created) may diminish the amount of sperm and the vigor with which they travel while also increasing the number of defective sperm.
Some testicular diseases, such as undescended testes and varicose veins (known as varicocele), raise the temperature of these organs. Excessive or sustained heat might have a three-month effect.
Toxins in the workplace or the environment and the usage of certain medicines might impair sperm production. Using anabolic steroids, such as testosterone and other synthetic male hormones (androgens), reduces pituitary gland hormone synthesis, which stimulates sperm production and may therefore reduce sperm production.
They may also induce testicular shrinkage.
Infertility in males may be caused by erectile dysfunction (the inability to achieve or maintain an erection adequate for sexual intercourse).
It can be caused by a blood vessel disorder, diabetes, multiple sclerosis, brain or nerve disorders (including Alzheimer’s disease, Parkinson’s disease, stroke, certain seizure disorders, and nerve damage from prostate surgery), the use of certain drugs (including some antidepressants and beta-blockers), the use of recreational drugs (including cocaine, heroin, and amphetamines), or psychologic problems (including performance anxiety or depression).
Erectile dysfunction might be the first sign if a guy has a blood vessel issue like atherosclerosis.
Some conditions cause the entire lack of sperm (azoospermia) in the sperm. They are as follows:
- Serious testicular disorders
- Other male reproductive system disorders include a blocked or absent vasa deferentia, a lack of seminal vesicles, and a blockage of both ejaculatory ducts.
- The same genetic defect that causes cystic fibrosis may also induce azoospermia, often by inhibiting the formation of both vasa deferentia.
Azoospermia may also arise if the sperm-containing semen goes in the wrong direction (into the bladder instead of down the penis). This condition is known as retrograde ejaculation.
Diagnosis of Sperm Problems
- A medical examination
- A sperm analysis
- Testing for hormonal or genetic disorders is sometimes performed.
When a couple cannot conceive, the father is routinely tested for sperm abnormalities. Doctors question the individual about his medical history and do a physical examination to pinpoint the source. Doctors inquire about previous diseases and surgery, medication usage, and probable exposure to toxins.
They look for physical abnormalities like undescended testes and symptoms of hormonal or genetic disorders that might lead to infertility. Hormone levels (including testosterone) may be tested in the blood.
Analysis of sperm
A semen analysis, the primary screening method for male infertility, is required. Men are often requested not to ejaculate for 2 to 3 days before the research for this procedure. The aim of this is to ensure that the sperm content of the sperm is as high as feasible.
They are then instructed to ejaculate via masturbation into a sterile jar, ideally at the laboratory location. Unique condoms with no lubricants or substances poisonous to sperm may be used to collect semen during intercourse for men who have trouble generating a semen sample this way.
Because sperm counts vary, the test needs at least two samples taken one week apart. When more than one sample is examined, the findings are more accurate than when one piece is analyzed.
The volume of the sperm sample is determined. It is assessed if the color, consistency, thickness, and chemical content of the sperm are standard.
The sperm have been counted. A low sperm count may indicate decreased fertility. However, this is not always the case. Sperm is also studied under a microscope to see whether it is aberrant in form, size, or motility.
If the sperm still seems abnormal, the doctor attempts to determine the reason. If there are insufficient or no sperm, physicians may assess hormone levels, such as testosterone and follicle-stimulating hormone (which boosts sperm production in males), and genetic testing may be performed.
In addition, urine may be examined for sperm after ejaculation to see whether retrograde ejaculation occurs.
A biopsy of the testicles is sometimes performed to assist in determining the reason for infertility.
If regular testing on both couples does not explain infertility, further tests that involve a sample of blood or sperm may be performed to examine sperm function and quality.
These tests may look for sperm antibodies, verify whether sperm membranes are intact, or evaluate sperm’s capacity to adhere to and enter an egg. However, it is uncertain how beneficial these tests are.
Hormone tests are performed if the findings of sperm analysis are aberrant, mainly if the sperm count is meager. Testosterone and follicle-stimulating hormone (which stimulates the testes to generate sperm) levels are tested.
If testosterone levels are low, levels of luteinizing hormone (which encourages the testes to make testosterone) and prolactin (which promotes milk production in both men and women) are examined. A high prolactin level shows that the reason for infertility might be a pituitary tumor or the use of certain medicines.
Suppose physicians conclude that it is insufficient or no sperm, genetic testing is performed. Almost any tissue, including blood, may be utilized for genetic testing. Tests include chromosomal analysis (called karyotyping). The polymerase chain reaction (PCR) may manufacture multiple copies of a gene or parts, making it much simpler to analyze the gene. Doctors look for the gene responsible for cystic fibrosis. Before a man with this gene mutation and his partner try to conceive, the partner should also be checked for modification.