Male infertility. Factors affecting male fertility.

The male doctor - andrologist, based on the history, examination and spermogram data, decides on the need for a complex of therapeutic measures to improve fertility (fertility).

At present, it is possible to increase the quantity and quality of spermatozoa ready for fertilization in a natural way even in the absence of problems in the seminal fluid, i.e. with normozoospermia, since in the human population there are no men with a 100% indicator of the norm of sperm motility and morphology (these indicators, as a rule, do not exceed 50% even in healthy men).

Given the fact that recently there has been a general trend towards a deterioration in spermogram parameters, the World Health Organization has to reduce the general bar for the parameters of the ejaculate norm for men, which leads to a delay in the couple's seeking help from doctors (table of ejaculation parameter norms according to WHO 2010) .

The factors affecting male fertility are different. These can be both external (smoking, alcohol (bad habits), drugs, ecology, stress, etc.) and internal factors (various diseases of the reproductive system). Violations can occur during the formation of the genital organs themselves, during spermatogenesis in the testicles, during the maturation of spermatozoa in the appendages, during the transport of spermatozoa along the reproductive tract, violation of ejaculation and penetration of spermatozoa into the cervical mucus, violation of the acrosomal reaction and the fertilization of the egg itself. In most cases, violations are eliminated and the right treatment allows a man to have his own healthy genetic child conceived naturally.