Wednesday, November 18, 2009

LOW SPERM COUNT AND ITS SOLUTIONS

LOW SPERM COUNT

Definition-Low sperm count is one cause of male infertility. Although it takes only a single sperm to fertilize an egg (ovum), the odds of a single sperm reaching the egg are very low. For this reason, having a low sperm count decreases your chance of getting your partner pregnant.

The lower your sperm count, the more likely you'll have trouble fathering a child. But treatments for male infertility related to low sperm count can help. Urologists are skilled in evaluating men with fertility problems and can recommend treatment.

In addition to evaluating and treating male fertility problems such as low sperm count, your doctor may also suggest treating your female partner to increase her fertility. This can help compensate for male infertility. If other treatments aren't effective, artificial insemination or in vitro fertilization can be used to produce a pregnancy when low sperm count is a factor.

SIGNS AND SYMPTOMS
For most men, the only sign of low sperm count men is the inability to conceive a child (infertility). A couple is considered infertile if they're unable to conceive after one year of regular intercourse. If sperm production is impaired by an underlying hormonal problem, you may have other signs such as decreased facial or body hair or problems with sexual function.

CAUSES
* Varicocele. This is a swollen vein inside the scrotum that can affect sperm production. This common cause of male infertility can be repaired with minor surgery.
* Damaged sperm ducts. Inherited conditions, infections, surgeries or injuries can damage the delicate duct system that carries sperm from the testicles into the penis.
* Anti-sperm antibodies. Men who have anti-sperm antibodies have an immune system response that attacks their own sperm. Common in men who have had a vasectomy reversal, this condition can also be caused by other problems such as an injury or infection.
* Problems with sperm production. These issues can be caused by a genetic (inherited) condition such as Klinefelter's syndrome or a hormonal disorder such as a health problem that affects the pituitary gland in your brain. If you have an inherited condition, you're more likely to have complete lack of sperm in your semen (azoospermia).

RISK FACTORS
Factors that increase your risk of low sperm count include:

* Genetic or hormonal problems. Certain health conditions affect sperm production, such as Klinefelter's syndrome or a problem with hormone production.
* Substance abuse. Sperm count can be reduced by use of illegal drugs such as cocaine or marijuana.
* Smoking. Smoking cigarettes affects sperm production. Secondhand smoke may also lower sperm count.
* Being overweight. Being obese has been shown to cause hormonal changes that affect sperm production.
* Exposure to environmental toxins. Exposure to radiation therapy, certain chemicals, heat and some medications can temporarily reduce sperm production.
* Cancer treatment. Radiation treatment and chemotherapy can hamper sperm production.
* Certain surgeries or injuries. Surgeries or injuries that affect the testicles or glands that produce hormones can affect sperm production.

TREATMENTS AND DRUGS
Treatments for low sperm count include:

* Varicocele repair. Varicoceles are a common cause of male infertility. A swollen vein in the scrotum, a varicocele can cause reduced sperm count and abnormally shaped sperm. Surgical treatment to repair a varicocele can improve the sperm count and increase the chances for a pregnancy.
* Hormone replacement. If the hypothalamus or pituitary glands in your brain aren't producing normal hormone levels, your doctor may recommend hormone treatment (gonadotropin injections). In some cases, it can take up to a year of regular injections to achieve normal fertility.
* Treating infections. If a blood test reveals high numbers of white blood cells, you may have an infection of the reproductive tract that affects sperm production. Antibiotic treatment may cure the infection, but may not restore fertility.

Assistive reproductive techniques. Also called ARTs, these procedures are an effective treatment for men with a low sperm count, because only a small number of sperm are needed. ARTs include:

* In vitro fertilization (IVF). During IVF, the female partner receives daily hormone injections for five to 12 days to stimulate egg production in the ovaries. When the eggs are mature, they're removed from the ovaries and combined with sperm in the laboratory. Fertilized eggs are placed into the woman's uterus.
* Intracytoplasmic sperm injection (ICSI). Used along with IVF, this procedure is used to inject a single sperm from the male partner into the female egg.

PREVENTION
* Don't smoke. Smoking can damage sperm and interfere with sperm production and libido. Secondhand smoke also may cause low sperm count.
* Avoid excessive drinking. Excessive alcohol consumption (more than two drinks a day for men) has been shown to reduce sperm production and affect libido.
* Steer clear of illegal drugs. Drugs including anabolic steroids, marijuana and cocaine can all affect sperm production and libido.
* Keep the weight off. Obesity is linked to decreased sperm production.
* Don't get a vasectomy. If there's any possibility you may want to father a child in the future, use other methods of birth control. Even though vasectomies can sometimes be reversed, you may have a reduced sperm count.
* Keep cool. Avoid hot tubs, saunas and other sources of sustained heat, which can temporarily reduce sperm count. Tight underwear and sitting for long periods or using a laptop computer also may increase scrotal temperature.

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Saturday, November 14, 2009

Premature Ejaculation

PREMATURE EJACULATION

Research proves that between 40% and 50% of men suffer from premature ejaculation.Definitions of premature ejaculation have ranged from "coming within six thrusts" to "coming within two minutes" and even "coming before your partner". The last one can be particularly misleading if you have a partner who likes to take up to an hour to reach orgasm.

A simpler definition is that if you come before you want to and you feel you're not able to control it, then you're suffering from premature ejaculation (or PE for short).

Bear in mind that most men will come sooner than they'd like on some occasions, particularly if under stress or in situations of very high excitement.

However, if you are unable to control when you come more than 50 per cent of the time, then it becomes a problem.

Some men may only suffer from PE when they're having intercourse. Some feel they come too quickly whatever the stimulation with a partner. Others feel they have little control even when they're masturbating alone.
The causes

Men with PE aren't able to recognise what therapists call the "point of inevitability". This is a sensation that occurs just a few moments before ejaculation. Men who don't suffer from PE are able to recognise this sensation and either stop or change stimulation until the urgency has subsided.

Most commonly, men who suffer from PE will have had it throughout their sexual life and won't ever have noticed this "point of inevitability". There are a number of reasons why this might have happened. It may be that initially, sex was always rushed or was associated with feelings of guilt or anxiety.

Sometimes men become quick ejaculators because of partner pressure to "get it over and done with". Whatever the original cause, the body gets used to responding quickly and rapid ejaculation becomes the norm.

Very occasionally, premature ejaculation results from a physical condition such as a urinary tract or prostate infection

Very occasionally, premature ejaculation results from a physical condition such as a urinary tract or prostate infection. Recent research suggests that some men may have a physiological predisposition in the nervous system to ejaculate quickly. But for most men, ejaculation will often be quicker in times of stress or ill health.
Self-help techniques

There are a number of things you can do to help yourself to recognise the point of inevitability. You might choose to practise alone at first, then discuss it with your partner and ask them�to help you overcome this problem. For more on ways to put these tips into action, see the section on practical exercises.

1 Relax. This is the most important thing you can do. Have a bath, use deep-breathing techniques or buy a relaxation tape.
2 Tackle relationship issues. Be sure that your head and heart are in the mood for sex as well as your body. If you're unhappy about something with your partner then sort it out first.
3 Exercise your pelvic floor. Many men say they are able to delay ejaculation by squeezing or pushing their pelvic floor muscles.
4 Stop and start. This is the most common technique used in psycho sexual therapy. Practice stimulating yourself to the point just before ejaculation, then stop. Start again when the sensations have subsided. Repeat this three times. You should find the length of time before each stop gets gradually longer.
5 Change strokes. If you feel you've gained more control with the stop-and-start technique, try changing your stroke to something less stimulating rather than stopping all together.
6 Change positions. During intercourse, try the stop-and-start technique when the sensations become strong. When you're more confident, try changing positions rather than stopping.
Hope you find this article helpful.

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