To identify the causes of infertility, both men and women must undergo comprehensive examinations. Accurate diagnosis based on these examinations typically forms the foundation for a successful treatment process. In recent years, male sexual weakness has become a significant concern, both medically and socially. Globally, male infertility accounts for 30–50% of all cases. Sexual weakness occurs due to various pathological processes in the body or the influence of different epigenetic factors.
Main Causes of Male Reproductive Dysfunction (Sexual Weakness)
- Varicocele and infectious-inflammatory diseases of the genitourinary system
- Congenital abnormalities of the sexual organs (e.g., cryptorchidism, hypospadias)
- Disorders in seminal fluid production
- Immunological factors
- Diseases of other organs and systems (e.g., tuberculosis, liver cirrhosis, chronic respiratory diseases, diabetes, mumps and its complication orchitis, chronic kidney failure, etc.)
- Surgeries on the genitourinary organs (e.g., inguinal hernia, hydrocele, bladder surgeries, urethral strictures)
- Use of chemotherapy, radiation therapy, hormone therapy, sulfanilamides, nitrofuran antibiotics, tranquilizers, and antihypertensive drugs
- Use of narcotic substances
- Sexual and ejaculatory dysfunctions
- Endocrine factors (primary and secondary hypogonadism, hyperprolactinemia, testosterone deficiency)
These issues often result in sexual weakness in men. Hormonal imbalances and negative lifestyle factors can accelerate this process, making timely intervention crucial.
Factors Contributing to Male Infertility
- Common external intoxications (e.g., alcohol consumption, smoking)
- Occupational intoxications (e.g., exposure to certain organic and inorganic substances, radiation)
- Heat factors (working in extreme temperatures or prolonged vibration)
- Trauma to the sexual organs
- Unbalanced diet
- Psychological stress
Diagnosis of Male Infertility and Sexual Weakness
Timely consultation with a doctor can help prevent more serious problems and ensure effective treatment. At the initial stage, an andrologist should assess the patient's medical history and identify risk factors for infertility. If symptoms of sexual weakness are observed, early diagnosis is critical.
The primary test for determining male reproductive status is spermogram analysis.
Preparation for spermogram analysis:
- Abstain from sexual activity for 48–72 hours before the test.
- Avoid strong medications, alcohol consumption, and visits to saunas or baths, as these can affect the results.
- If pathological changes are detected in the ejaculate, a repeat test is recommended after two weeks.
Tests Included in the Check-up Package:
- Clinical urine analysis
- Clinical smear analysis
- Mycoplasma genitalium PCR
- Chlamydia trachomatis PCR
- Anti-HCV, HBsAg, Anti-HIV, Syphilis (express)
- Total testosterone
- Andrological ultrasound (prostate gland, testes, testicular reflux, bladder, seminal vesicles)
- Vacuum massage and laser therapy for the prostate with the Yarovit device (10 sessions)
- Consultation with a venereologist
Timely consultation with a doctor can help prevent sexual weakness and other reproductive health problems. Adopting a healthy lifestyle and undergoing regular examinations contribute to reducing cases of sexual weakness and restoring reproductive health.
Online registration is mandatory for Check-up examinations.
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