According to statistics, oligozoospermia is one of the most common causes of male infertility. The specialists of the andrology center in Friedrichshafen are equipped with modern technologies and have extensive experience in treating the low sperm count (azoospermia, oligozoospermia etc.). Individualized treatment as well as innovative conservative and minimally-invasive methods help to eliminate the cause of oligozoospermia syndrome and restore the reproductive function in men. Since 2009 the certified andrology department at the Clinic of Friedrichshafen promotes the program of interdisciplinary cooperation in male infertility treatment. It means that the patient obtains comprehensive medical support from specialists from different medical areas and his health problem is thus approached in a holistic way.
It is believed that 1 ml of semen of healthy man should contain at least 50-70 million vital sperm. Sperm cells should be sufficiently mature in order to be able to reach the egg and fertilize it. A man whose semen has revealed sperm count less than 15 million is diagnosed with "oligozoospermia of first degree - in this case the chances to conceive a child are reduced by about 60%. If the number of spermatozoa in 1 ml of semen is less than 10 million, the specialists speak about the 2 degree of oligozoospermia. In this case the chances of conception do not exceed 10%. Less than 7 million and less than 3 million sperm per 1 ml of semen are signals of respectively 3 and 4 degrees oligospermia. Even in this case, the probability of conception is preserved, but makes up no more than 2%. Therefore it is better not to rely on сhance and take a course of treatment.
In addition to semen analysis, a specialist performs an accurate physical examination. Further tests are
The investigation of the hormone level in the blood is also part of the basic examination. For the diagnosis of genetic abnormalities, a study of chromosomes is required. Among the most evident causes of oligozoospermia are: Failure in spermatogenesis (sperm production) or in transport in the seeds ways.
In ordert to make decision about the proper treatment, at least three diagnosis steps should be done:
Depending on the cause, treatment of oligozoospermia may imply change in lifestyle, hormone correction, surgical interventions and artificial insemination of a female partner. If the cause of the disease is an organic pathology of the reproductive system (e.g. varicocele or epididymitis), a minimally-invasive correction surgery is performed. In case of hormone disorders therapy involves the use of androgens, testosterone, gonadotropins and antiestrogens.
If the surgical and conservative treatment proved to be inefficient in oligozoospermia management, treatment with the methods of assisted reproductive medicine are reccomended.
Secretory form of oligozoospermia. In this case the formation of new sperm cells, which are able to fertilize the egg, is affected due to hormone disorders. Treatment of male infertility in this case implies accurate records of all spermatogenesis problems In addition, to the secretory form of male infertility can result in endocrine diseases, varicocele, cryptorchidism, and genital infections. In this case the specialists speak about the „secondary oligozoospermia“ and recommend the comprehensive diagnosis and treatment oft he physiological problem.
Excretory (obstructive) form of oligozoospermia. This disorder refers to infringement of the ejaculatory paths due to the violation of their patency. This disorder can be effectively treated either with modern surgical techniques (unblocking the ejaculatory paths) or with the latest technology of reproductive medicine. The causes of blockage include excretory cysts and tumors of the testis, compressing the vas deferens, previous viral mumps, congenital ductal disorders as well as the effects of trauma and unsuccessful surgical interventions on the pelvic organs.
Immunological form of oligozoospermia. In this case, the male body develops antibodies to its own sperm, which leads to a so called immune conflict. The body begins to develop a reaction in which the spermatozoa are seen by the immune system as the antigen material. The antibodies significantly reduce the fertilizing capacity of the semen, and sometimes cause the complete destruction of all male sex cells. Conservative treatment of immunologic forms of infertility is not always effective, so patients with this diagnosis are recommended to have IVF or ICSI performed.
The cost of the IVF/ ICSI cycle makes up 6 000 – 7 000 euro. Sperm retrieval with mirosurgical techniques costs about 800-1000 euro. The success rate of in vitro treatment in case of oligozoospermia is steadily growing and makes up about 45%. The advantage of this method is that all sperm cells are tested for the presence of genetic abnormalities, which helps to cut risks and enhance the chance for successful pregnancy.
Contact the fertility center at the Fridrichshafen Clinic to learn more about the most efficient reproductive technologies, implemented for oligospermia treatment.
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