https://topdoctorsindelhi.com/necrozoospermia-infertility-treatment-in-delhi/
Necrozoospermia or necrospermia
is the medical term for when all the sperm is dead in a fresh semen sample.
Incomplete necrozoospermia is
when many but not all of the sperm in a semen sample are dead. Typically, when
less than 45%, but more than 5%, are viable. Complete necrozoospermia is when
all the sperm in a semen sample are dead. Complete necrozoospermia is very rare.
It’s estimated that only 0.2% to 0.5% of infertile men suffer from complete
necrozoospermia.
Necrozoospermia shouldn’t be confused with
asthenozoospermia.
Asthenozoospermia is when sperm
motility- or how the sperm swim is abnormal. In this case, the sperm doesn’t
move, but they are not dead. Absolute asthenozoospermia is when no sperm moves at all. It
occurs in 1 in 5,000 men.
Necrozoospermia
treatment in Delhi
Both asthenozoospermia and
necrozoospermia are potential causes of male infertility. There are usually no
outward symptoms. The only way to diagnosis the problem is with a semen
analysis.
The treatment options are
different for absolutely asthenozoospermia and necrozoospermia. With
asthenozoospermia, IVF with ICSI is a potential treatment. (IVF with ICSI is
when a single sperm is injected into an egg.)
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With necrozoospermia, IVF with
ICSI can’t be done with fresh ejaculate. You can’t inject a dead sperm into an
egg. The most successful treatment for necrozoospermia is testicular sperm
extraction with ICSI or TESE-ICSI. More on this below.
False-Diagnosis
Most of the time, when a lab diagnoses Necrozoospermia in a semen sample, it is
a mistake.
A false-diagnosis may occur if…
You used a non-fertility friendly
lubricant. When masturbating for a semen analysis, it’s very important you
either use a “dry rub” (no lubricant) or only use a fertility friendly option.
Regular lubricants can kill sperm.
Always ask your doctor what
lubricant you can use safely for the test.
The container to collect sperm
was dirty. The semen sample should be collected in a dry, sterile cup.
If the cup was contaminated, it’s
possible whatever was in the cup could kill the sperm.
You tried to collect the sperm
inside a regular condom. Some men have great difficulty getting a semen sample
via masturbation. For them, getting the sample through sexual intercourse can
be easier.
However, if you are going to try
this, you must use a special condom made for medical collection! Even if the
condom isn’t advertised as having spermicide, the latex material can kill the
sperm.
If you received a diagnosis of
necrozoospermia, your doctor will repeat the test and may send your next semen
sample to a specialty lab.
When redoing the test, you may
also be asked to provide two samples in one day.
The reason is that the next
ejaculation will have fresher sperm, and those sperm will not have spent as
much time waiting to be ejaculated. This can help diagnose the problem.
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Male & female infertility:-
It’s not entirely clear what
causes necrozoospermia. Because it is so rare, there are a lot of unknowns.
Some possible causes and theories behind
necrozoospermia include.
- Infection in the male reproductive tract
- Prolonged periods of no ejaculation
- Spinal cord injuries
- Problems with the testicles
- Problems with the epididymis (which is a long,
coiled tube just above each testicle, where sperm are collected and mature
before ejaculation)
- Hormonal cause, as with hypogonadotropic
hypogonadism (HH)
- Early testicular cancer
- Abnormally high body temperature (high
temperatures kill sperm)
- Anti-sperm antibodies (where the body’s immune
symptom attack its own healthy, normal cells — sperm cells, in this case)
- Varicocele
- Exposure to toxins (environmental toxins present
at home or at work)
- Street drug use
- Advanced age (yes, age matters for male
fertility)
Necrozoospermia infertility treatment in Delhi
In cases where the cause for
necrozoospermia is found, treatment of that cause is the first step.
For example, if there is an
infection, antibiotics may be prescribed.
If necrozoospermia is caused by
drug abuse, treatment of drug addiction may be recommended.
The most common treatment for
complete necrozoospermia is testicular sperm retrieval with IVF-ICSI. Also
known as TESE-ICSI. TESE-ICSI stands for testicular/epididymal sperm extraction
with intracytoplasmic sperm injection.
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Even though there are no live
sperm cells in the ejaculate, there are frequently living immature sperm cells
found in the testicles. To get to those young germ cells, local anesthesia is
used to numb the testis. Then, a needle is inserted and a sample of testis
tissue is biopsied (or extracted). These immature sperm cells are cultured in
the fertility clinic lab. The sperm are not able to penetrate and fertilize an
egg on their own. That’s why IVF with ICSI is required. ICSI involves injecting
a sperm cell directly into an egg.
A less common but possible
treatment for necrozoospermia is repeated ejaculation the week of treatment.
For those with spinal cord injuries, this may be carried out through
electroejaculation. (Electroejaculation involves the use of electrical shocks
to force ejaculation, in order to retrieve semen.)
A very small study found that
repeated ejaculation—in this case, twice a day for four to five days—increased
the number of live, mobile sperm. The increase was significant. The percentage
increased three to seven times compared to prior treatment.
The live sperm found in these
samples could then be used during IVF or IVF-ICSI.
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However, studies have compared
IVF pregnancy rates after TESE-ICSI against IVF-ICSI with the few sperm found
via repeat ejaculations. They found that pregnancy and live birth rates tend to
be better with TESE-ICSI.
Another possible treatment option
is to use a sperm donor.