Male infertility treatment / Top clinic in Germany, Friedrichshafen

Male infertility treatment

The Urology Department of Friedrichshafen Clinic offers male infertility treatment with the use of modern therapy methods.

Most often the reason for male infertility lies in the changes in sperm cells quality and its amount.

The limited formation of healthy sperm and the formation of abnormal, poorly motile sperm is the number one cause for infertility. Besides the prevention of natural seed flow from the urethra during ejaculation and a limitation of erectile function can reduce fertility. Among the most common causes of infertility are:

  • Decreased semen quality (OAT syndrome)
  • Undescended testes in early childhood
  • Mumps infection in childhood under involvement of the testis
  • Underdevelopment of the testicles
  • Varicocele (Varicose veins in the testicles)
  • Congenital malformations of testis
  • Testicular violations and violations of the vas deferens (after procedures such as a hernia operation)
  • Testicular infection (orchitis) / epididymal inflammation
  • Prostate inflammation
  • Urethral inflammation
  • Circulatory disorders of the testis
  • Erectile dysfunction
  • Testosterone deficiency
  • Endocrine disorders (for example, thyroid, pituitary and adrenal diseases)
  • Cancers and their treatment with chemotherapy and radiation
  • Immunological infertility
  • Cystic fibrosis

Patients with deferent duct obturation have also the indications for infertility treatment. Such condition implies the existence of obstructions inside the deferent duct or secretion disorders.

Unfulfilled infertility may be the fault of the man's infertility - just as often as a woman's sterility is the cause. If male sterility is mentioned, the male is incapacitated - usually, but the testes are not always at the center of the cause research. Here you can read what can be behind the inability to conceive and how the wish to have a child can be fulfilled despite the infertility of the man.

Causes of infertility of the man

An unhealthy lifestyle (overweight, nicotine, drugs, alcohol, stress) and harmful environmental factors (pollutants, pesticides) harm the fertility of men and women alike. However, there are gender differences in the physical causes.

An infertile man usually produces too few healthy, well motile sperm. To give birth to a child, one milliliter of his sperm (ejaculate) should contain about 20 million sperm. But the amount alone does not make it: At least 30 percent of these cells must be shaped normally and at least 50 percent should be easy to move. Is sufficient sperm in good quality available, it ultimately needs a free transport route. This means from the testicles into the epididymis and then over the vas deferens to the outside, made possible by an ejaculation.

Male infertility due to poor sperm quality

If a man is incapacitated, it is often due to the poor quality of his sperm. Either too few, too many slow or too many malformed sperm cells are present. If all three problems occur, doctors speak of the OAT syndrome (oligo-astheno-teratozoospermia). Although sperm appear to be fit and fast at first glance, an altered gene can prevent them from getting through the womb mucus. Incidentally, the age also plays a role in men: the older, the less and slower the sperm. If there are too few sperm in the ejaculate (oligozoospermia), either the production or the transport of the sperm cells does not work optimally.

Decreased sperm production

Only intact testicular tissue produces fertile sperm. Numerous factors, some of which already exist at birth or in infancy, can damage the testes and limit the production of semen and thus fertility in men in adulthood.

Which illness causes the complaints?

  • Mumps disease (mumps-orchitis) or other infections (eg chlamydia)
  • Congenital malformation (e.g., undescended testis)
  • Hormone deficiency: too little male hormone (testosterone) due to hypofunction of the testes (hypogonadism), which usually also reduces the libido
  • Genetic anomalies (e.g., Klinefelter syndrome: man has two X chromosomes, too little testosterone)
  • Tumor disease (eg testicular cancer, chemotherapy)
  • Surgery (e.g., prostate)
  • Injury (e.g., testicular torsion)

In particular, permanent overheated testicles take damage. If the temperature in the testes increases due to varicose veins, circulatory disorders, undescended testicles, special sports or workplace conditions above 32 degrees Celcius, the sperm volume decreases.

Disturbed transport route

Occasionally, a glued or severed vas deferens prevents the arrival of sperm (obstructive azoospermia). The cause of this form of male infertility can be:

  • Infections (e.g., Chlamydia)
  • Inflammation of testicles, epididymis (orchitis, epididymitis) and prostate (prostatitis) or urethral stenosis
  • Surgery (inguinal hernia)
  • Cystic fibrosis (cystic fibrosis)
  • Congenital malformation

Male Infertility: therapy concepts

If it does not work out right away, you should consider your lifestyle: healthy diet, diet, exercise, abstinence from nicotine and alcohol and stress reduction can improve a poor spermiogram.

Incidentally, daily sex does not increase the chances of success, but rather reduces the sperm count in the ejaculate. Sexual intercourse every three days seems to be recommended for fertility problems.

If a physical cause is found, the treatment is based on the diagnosis and should be done after thorough consultation by an experienced urologist / andrologist or at specialized fertility centers. The following options are available:

  • Psychotherapeutic treatment
  • Operation of varicose veins or glued vas deferens
  • Infections: antibiotic (for both partners)
  • Drug treatment for hormone deficiency or erectile dysfunction
  • vacuum pump
  • penile implant

Do not help these measures, medics support the sperm on their way to the egg.

Seed extraction

If the sperm are able to produce and only find their way out, one can think about a Testicular Sperm Extraction (TESE, "testicual sperm extraction"). Sperm sampling takes place from the testicular tissue by means of testicular biopsy.

New techniques that identify mature sperm (PICSI, "physiological intracytoplasmic sperm injection") or reject less suitable sperm (IMSI, intracytoplasmic morphologically selected sperm injection) promise better chances of success in infertility. So man and woman can often be helped.

Artificial fertilization (IVF)

With the sperm selected in this way, various techniques of artificial insemination (ART) can be used to fulfill the wish of children:

  • Intrauterine Insemination (IUI): Seed transfer into the uterus
  • In Vitro Fertilization (IVF): Test Tube Fertilization
  • Intracytoplasmic Sperm Injection (ICSI): Special form of IVF, sperm is injected under the microscope directly into the cytoplasm of the egg
  • Artificial insemination by means of sperm donation

Infertility of man: common path

Diagnosing infertility puts a strain on the relationship. Whoever triggers infertility, husband and wife should agree on their decision to treat the condition and take that path together. Understanding, patience and open conversation are especially important at this time. Professional psychological support can increase the success of infertility therapy in men.

The Friedrichshafen Clinic services

Our clinical center offers the most innovational technologies for successful male infertility treatment, including:

  • Minimally invasive laparoscopy
  • Prostatitis Treatment
  • Laser therapy
  • Measurement station for urodynamic examinations
  • Shock-wave therapy
  • Performing surgeries using the new-generation daVinci® SI HD. This technology makes surgical intervention less painful, leaving less noticeable incisions.

After genital examination the control of semen quality should be performed It represents the most important test for evaluation of male fertility. It must be done before any invasive procedure and before starting any therapy of infertility.

The investigation should be carried out after a period of abstinence from sex of three to four days. The semen is examined microscopically. The amount of ejaculate, motility and shape of the sperm are to be checked. The specialist also determines the percentage of normally formed sperm. Since the quality of sperm varies greatly, the investigation is carried out again about a month later. The cost of such an analysis makes up about 600-700 euro.

The treatment of different male infertility forms in the Clinical center of Friedrichshafen

Our clinic focuses on treatment of all male infertility forms. Each form requires specific therapy methods.

The secretory form of male infertility implies that testes do not produce enough number of sperm cells. This leads to inability to fertilize the egg. Sperm motility or malformation disorders also belong to the secretory male infertility form.

Fertility problems can also appear after so called varicocele (varicosis) that complicates the blood flow and leads to the depression of testes function. It affects the left testis first, and then the right one. The treatment on the initial stages, including surgical intervention, helps to prevent the development of male infertility.

Other possible reasons for fertility problems include:

  • Hydrocele - the collection of liquid that constricts the testis from the inside and leads to the release of defective sperm cells.
  • Inguinal hernia.
  • Cryptorchidism - the testis do not descend fully into the scrotum. If this defect hasn’t been removed by 7 years old age, the risk of male infertility rises significantly.
  • Parotitis - the grandular tissue is affected by virus that damages the reproductive system first.
  • Orchitis - the inflammation of some reproductive organs. Without urgent treatment 50% of cases end up with fertility problems.
  • Mechanical traumas and radioactive exposure can damage the seminiferous epithelium (cover) and lead to male infertility.
  • The prolonged exposure to high temperatures (sauna). If it is impossible to avoid such procedure, it should end up with cold water rinse in order to normalize the testis temperature.
  • Syphilis - in rare cases it leads to male infertility development.
  • Steady stress, the lack of proteins in the body, hypovitaminosis and bad habits also affect fertility in combination with other factors.

In obstructive form of the disease there are pathologies in the structure of both deferent canals. The inability of sperm cells to pass through the canals is caused by the canal obstruction. It appears as a result of inflammations in vascular cones. The treatment begins with diagnosing the size and possible reasons of obstruction or adhesion of canal walls.

Immunogenetic disparity is one of the rarest reasons of male infertility. In this case a man can have children from another woman. Hypersensitive reaction of female body to sperm is also possible, but such cases are also rare.

Diagnostics and treatment of male infertility in the Clinical center of Friedrichshafen

The treatment of male infertility even on the advanced stages becomes possible in our clinic thanks to using versatile technological base. First of all the doctors remove all concomitant conditions. Such measures include normalizing resting time rules, elimination of stress factors, etc. The next step in treatment is vitamin therapy, normalizing the diet, sedative drug therapy.

On the third step the patient goes through the treatment of various infections and correction of endocrine pathologies, especially if there are some spermatogenesis disorders. In spite of the schematic character of the treatment, specific procedures and medications are prescribed individually in each case.

The treatment of such diseases has its own peculiarities. If a man has inflammatory processes, a partner should also undergo the treatment. Sometimes doctors offer artificial insemination with further therapy.

If you have faced the fertility problems, do not hesitate to apply to the Friedrichshafen Clinic. We will be happy to assist you even on the most advanced stages of disease. Successful treatment results are based on highly qualified personnel of the Clinic and innovative technologies.

Male infertility treatment

3.5/5 (144 votes)

Comments and questions

Joseph Brima Tue, 13 Feb 14:51

How long does the entire process lasts for and how much does it cost? If we need to get to the stage of doing and IVF, how much does it cost and how long will it last?

zara Tadesse Tue, 15 Aug 16:02

I am interested in testicular sperm extraction and then icsi treatment

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Medical Staff

MD PD H.-W. Vollert

MD PD H.-W. Vollert
Head of the Gynaecology Department

MD Bernd König

MD Bernd König
Head physician assistant

MD Ina Seidenspinner

MD Ina Seidenspinner
Senior physician

MD Karin Roth

MD Karin Roth
Senior physician

MD Alexandru Armion

MD Alexandru Armion
Senior physician

Daniela Reichert

Daniela Reichert
Medical secretary

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