Common sense suggests that the simplest, least-expensive methods should be tried first in cases of suspected male infertility. That means, for example, taking an antibiotic to clear up any infections, or using a medication such as Clomid to boost sperm production rather than jumping immediately to sperm extraction and in vitro fertilization. Unfortunately, some doctors dismiss such relatively easy steps, either out of ignorance or out of a desire to give their patients some tangible results as quickly as possible.On possible cause of male infertility is partial or complete blockage of the ejaculatory ducts. These are tiny slit-like holes through which sperm are propelled into the prostate during orgasm. If the ejaculatory ducts are completely closed, a man is sterile. If the ducts are partially clogged, sperm counts are low, reducing (but not eliminating) fertility.
The standard treatment for blocked ejaculatory ducts is transurethral resection of the ejaculatory ducts, or TURED. “Transurethral” means “through the urethra. “Resection” means to remove tissue. A device called a cystoscope is inserted into the urethra and a tiny shaver is manipulated by the doctor to cut away a thin layer of the scarred tissue. Very little blood usually flows during this procedure so the ducts, which are tiny, are not re-clogged with blood clots.
Other, more advanced, techniques are available for dealing with more serious causes of male infertility, such as undescended testicles, injury to the testicles or vas deferens or congenital abnormalities. You can find more information about such procedures in my book ‘The Male Biological Clock.’
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