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Home Urological Hub

Infertility in Men

Infertility in Men

15/05/2025
in Urological Hub
Бесплодие у мужчин | фото
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This article is available in: Русский & ქართული

Understanding Male Infertility

There is a common belief that infertility is mainly caused by female-related issues. However, in reality, male infertility can be equally responsible. The functional roles of both men and women in the process of conception are almost equal. In many cases, the main cause of infertility lies in the man’s health condition. The primary causes of male infertility include hormonal and endocrine disorders, varicocele, and most commonly, various sexually transmitted infections.

 

Main Causes of Male Infertility

  • Varicocele
  • Hormonal Disorders
  • Infections of the Urogenital Tract
  • Immunological Factors

 

Varicocele and Male Infertility

Varicocele  is a varicose enlargement of the veins in the testicles and the spermatic cord. It is a common condition among men and a leading cause of infertility in men. If a man experiences pain or discomfort in the left or right testicle during prolonged standing or physical exertion, he should consult a doctor. When varicocele causes pain or sperm quality is impaired, surgical intervention is often required.

Causes of Varicocele

  1. Congenital Weakness of Blood Vessel Walls
    Genetics is the most common factor in developing varicocele. In nearly all cases, a close relative of the patient has a history of varicose veins, flat feet, heart valve defects, phimosis, or other connective tissue disorders. These conditions often coexist.
  2. Increased Blood Pressure in the Pelvic Area
    Although not a direct cause, increased pressure in the pelvic cavity or scrotum can contribute to varicocele. In some cases, anatomical changes raise the pressure in the veins to the extent that this factor becomes a direct cause of the condition.

Hormonal Disorders and Infertility

Hormonal imbalances, such as increased or decreased levels of prolactin or testosterone, can significantly affect male fertility. These disorders often occur in individuals who sit for long hours due to work. Overheating of the testicles in such cases can suppress spermatogenesis, the process of sperm production.

Immunological Factors and Urogenital Infections

In cases of immunological disorders, the quality of sperm decreases, sperm concentration becomes low, or blockages occur in the sperm pathways. As a result, sperm cannot move properly, preventing it from reaching the egg and achieving fertilization. Additionally, infections in the urogenital tract, including sexually transmitted infections (STIs), are major contributors to male infertility.

 

Diagnosis and Treatment for Male Infertility

Karazanashvili Robotic Center offers comprehensive diagnosis and treatment for infertility in both women and men.

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