Vijayawada: Infertility has increased among males in Vijayawada city in the last one decade. Two case studies in Vijayawada suggested that 40-45 pc of infertility cases among men in the Capital city were due to genetic disorders, infection, ignoring nutritious food, lack of regular exercise, work stress, exposure to environmental pollutants, etc..
In a case related to Ms Priyanka, 30, and Mr Bala, 37, (names changed) who were married for 5 years and have been wanting to become parents for the last 3 years, they were evaluated at different clinics to find the cause behind inability to conceive. Priyanka had regular menstrual cycles with normal ovarian reserve and normal uterus with good endometrial thickness. However, Bala had Azoospermia i.e. no sperms were found in the ejaculate. They were advised for donor sperm IUI to get pregnancy, according to Dr. G. Sree Lakshmi, a city-based fertility specialist.
After detailed history and examination and a semen analysis was repeated, it has been confirmed there were no sperms in the semen, said Dr Sree Lakshmi.
Bala's testosterone and FSH hormone evaluation was found to be within the normal range with normal testicular size. After proper counselling to the couple, a successful surgical retrieval of sperms from testis was done. The couple was then explained about their chances of having their own genetic baby through ICSI procedure with testicular sperms. Later, the couple had a successful pregnancy with help of the same technology.
In second case, Latha, 27, and Sandeep, 34, (names changed) were married for 7 years when they approached the fertility specialist, with history of infertility. On investigating both, Latha was found to be normal. Sandeep had very low sperm count. He was then counselled for lifestyle modifications like quitting alcohol and cigarette smoking. Antibiotic course, aromatase inhibitors, and antioxidants were given to improve sperm parameters for 3 months, but there was no improvement.
The couple wanted their own genetic baby, so they decided to go for self-sperm ICSI. Though it was unsuccessful in the first attempt, Latha conceived in the second cycle. Explaining the reasons for infertility in men in the Capital city, Dr Sree Lakshmi said that excessive dependence on electronic devices like laptops, tabs and ipads was found to be the cause of radiation, resulting in infertility in males.
