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1 in 100 men have no sperm at all. why is it happening? - Walla! health

2022-12-02T05:32:10.635Z


50% of fertility problems are related to men, but unlike women - they are much less aware, and much more embarrassed to approach the subject. Dr. Shanir Daklo explains why this happens, and how to deal with it


Dr. Shanir Daklo, director of the men's health clinic in Ichilov, explains which fertility problems are common in men - and how to deal with them (Walla system)

In recent years, the fact is becoming clearer that the sperm count of men is significantly decreasing, and as a result - there is also an increase in fertility problems.

Dr. Shanir Daklo, director of the men's health clinic at the Ichilov Hospital, was a guest on the "Expert Clinic" podcast to explain why this happens, and how to deal with the phenomenon.



Dr. Daklo explained that in recent years, many myths in the field of fertility have been shattered.

In the past, if a couple had difficulties conceiving, the basic assumption was that there was a problem with the woman, but today we know that "probably 50 percent of fertility problems originate in the man," he explained, "Unfortunately, the awareness of this is still not as high as it is among women. But as there is half and half in everything, we also take an equal share in fertility problems."

Has our awareness only increased or has the state of male fertility really deteriorated?

The answer to this is complex as there are data here and there.

"Some of the data show that the sperm counts are going down, the quality of the sperm is going down and we don't know why. There are several estimates but none of them are proven, from pressure, stress, obesity, smoking to the cell phone we carry in our front pocket, we don't know, but also On the other hand, it could be that the tests have become more accurate and therefore more problems are found," explained Dr. Daklo. What can be said with certainty is that "the man is also an equal partner in fertility problems, and just as we offer a huge variety of treatments that help women, we also have something to offer men." .

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When you test sperm, you look at the concentration it should be - over 15 million in one cm3 of ejaculate. But it's not just the quantity, you also look at the amount of ejaculate, the motility of the sperm - you need at least 40 percent of the sperm to have good motility, and also the quality The seed. When one of these parameters is not normal, we start clearly to understand what the source of the problem is.

What fertility problems do men have?

Let's start with the extreme case of male fertility problems.

"1 out of every 100 men has no sperm in the ejaculate at all, the fluid is completely empty of sperm, there are people in whom this can be predicted - those of us who have undergone chemotherapy treatments or whose testicles are not developed for all kinds of reasons, but with most of the people I see it came out of nowhere", Dr. Daklo said.



When asked why this happens, Dr. Daklo said that "there are men who have an obstructive disorder - the testicles produce sperm, but somewhere along the way there is a blockage. In these people, sperm can be found very easily, and sperm are usually produced directly from the testicles in a surgical way".

He added that the chance of success in such cases is 100 percent.

For most men, fertility problems come "out of nowhere".

Sperm imaging (Photo: ShutterStock)

In cases of low sperm concentration or low motility, help is usually needed.

Sometimes a spontaneous pregnancy does occur in these cases, but when this is not possible, treatment is necessary.

"Starting with a change in lifestyle - from losing weight and stopping smoking. The things that apply to our health are also relevant to the health of the sperm."

In the case of insemination treatments or in vitro fertilization, the sperm is improved, and sometimes a single sperm is inserted into an egg under a microscope.



There are also cases of unexplained fertility problems, and this is quite common - when both parties are normal, but cannot get pregnant, and then IVF is often used.

"There are also men that I see whose hormone levels are sky high, that the brain is trying to transmit to the testicles to produce sperm and the testicles don't listen. These people will usually also have relatively small testicles, and these are the extreme case that the intervention is surgical where I try to extract sperm from the testicles, under a microscope in an operating room."

Does a man's age affect fertility?

"A man produces sperm throughout his life, but the quality of the sperm decreases over the years," explained Dr. Daklo, "A man at the age of 70 can be fertile, but will probably be more prone to disasters in the context of genetic problems in the fetus." However, these are relatively rare things. "Most men remain fertile even at a relatively late age, but the sperm also goes through a process, it is not the famous biological clock of women, but that is also a consideration," he added.



Dr. Daklo added that when a young man knows there is a problem with his sperm, he is advised Save sperm - just like freezing eggs.

Are it harder for men to deal with fertility problems than women?

"Unequivocally. As part of my practice, I deal with male fertility and also with sexual dysfunction, usually there is no connection, but sometimes these things go together," explained Dr. Declo, "I think that today we are in a more open era, people read more so they understand that they not the only ones.

I try to convey to them and give them a very comfortable feeling, to sit in front of me and open everything.

From the moment men realize that they are not the only ones, it already breaks some kind of barrier after which it is easier to move forward with treatment.

The fact that 1 in 100 men has no sperm at all - that's a lot, and people are not aware of it at all.

And as soon as people realize that there are other people like them, and someone to talk to and how to treat them, it becomes easier."

  • health

Tags

  • fertility

  • Male fertility

  • seed

  • spermatozoa

  • pregnancy

  • Fertility treatments

Source: walla

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