Male infertility: the taboo that is beginning to be broken

Male infertility has long been a taboo subject. But today, more details are emerging about its causes and how to treat it. This information may be helpful.

When determining that there is an infertility problem (when a pregnancy cannot be achieved after 12 months or more of regular unprotected sexual relations) both men and women must undergo studies to determine the best treatment, in this regard Dr. Lourdes Flores, gynecologist and specialist in human reproduction, highlighted: “Some time ago it was considered that infertility was totally related to women; however, recent scientific studies have concluded that women and men have similar percentages of biological responsibility in infertility.”

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Thanks to advances in studies and treatments in human reproduction, it is possible to determine the Causes of male infertility, which can range from sperm count to genetic damage : “When most or all of the sperm have genetic problems, these sperm may not be able to properly fertilize an egg or they may fertilize the egg and generate a damaged embryo, which can lead to miscarriage or the birth of a baby with health problems,” warned the specialist member of the UR Crea Reproductive Medicine medical team.

And it is that The age of men has an effect on the quality of sperm DNA In normal, healthy men, the testes destroy sperm with DNA damage; however, this "quality control" process generally becomes less efficient as a man ages .

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In these situations, different strategies are used to select the most competent sperm, such as identifying the causes of sperm DNA damage , which allows for reducing the number of apoptotic sperm. "Sperm are selected using magnetic separation (MACS), which isolates those that express markers of cellular apoptosis. This technique qualifies the semen sample and optimizes sperm selection by identifying those that do not present DNA fragmentation, thus increasing the probability of pregnancy," the specialist noted.

Ovarian aging, the female case

On the other hand, regarding women's fertility, Dr. Flores Islas highlighted that Ovarian aging begins at age 35 and worsens at age 40. , because, as the years go by, the number of eggs housed in the ovaries decreases, their quality diminishes, and chromosomal alterations multiply. "In this case, the innovative technique of Ovarian Rejuvenation was designed to combat the harmful effects of aging. This process activates the remaining cells and follicles in the ovaries," she emphasized.

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The expert added that the goal of Ovarian Rejuvenation is to regenerate ovarian cells to increase the chances of ovulating properly and producing quality eggs for fertilization and achieving pregnancy . "It's a very promising treatment for both women who want to become mothers with their own eggs and those who choose to undergo it as a preventative measure."

Furthermore, it primarily benefits patients with premature menopause—the period between two and five years prior to menopause—and women with low ovarian reserve or premature ovarian failure. "At UR Crea Reproductive Medicine, our medical team will assess the case and inform you about specific options based on the diagnosis," concluded Dr. María de Lourdes Flores Islas.

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