IVF in Iran

HayatMedTour is a medical tourism facilitator in Iran which providing the specialized fertility services and fertility treatment services like IVF and Egg Donation in Iran with the high quality and an affordable prices for couples who are suffering the infertility problems.

IVF in Iran

HayatMedTour is a medical tourism facilitator in Iran which providing the specialized fertility services and fertility treatment services like IVF and Egg Donation in Iran with the high quality and an affordable prices for couples who are suffering the infertility problems.

IVF in Iran

HayatMedTour is a medical tourism facilitator that has specialized in providing fertility assistance, infertility treatment, and IVF in Iran and Egg Donation in Iran at the best quality and affordable price for foreign couples who have infertility problems. Through cooperating with a wide network of health centers, hotels, and travel agencies, HayatMedtour provides the best and high quality of health care, travel and accommodation services at affordable prices to international infertile couple.

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If you’re planning IVF this year, it’s actually just as important for men to prepare themselves for fertility treatment as women. Factors such as weight and lifestyle affect male fertility just as it can female fertility.

How Men Need to Prepare If You are Undergoing IVF

So what can you do as a man to prepare yourself for IVF, to ensure your sperm is the best it can be?

Check your weight

Being significantly overweight can affect your sperm. Studies have shown that obesity can affect sperm motility - how well your sperm moves - with a higher risk of sperm DNA damage. A high BMI can also affect sperm count. So you should always aim to achieve a healthy BMI before you embark on any treatment cycle, to maximise your chances of success.

Sperm temperatures

Hobbies such as cycling, or using a laptop actually in your lap, can increase the temperature of the testicles, which can affect sperm production.

Lifestyle changes

Excessive alcohol intake can negatively affect your sperm quality, quantity and testosterone levels. Cut back on your alcohol intake, and if you also smoke – whether it’s tobacco or illegal substances, quit – smoking can decrease sperm count and motility and affect sperm shape and function.

Dietary changes

A healthy diet should also mean healthy sperm, so check what you’re eating. A study of more than 1,100 men and women found that regular consumption of fruit, vegetables and pulses was associated with far higher levels of fertility. So cut back on processed foods and eat a good balanced diet that will provide you with all the vitamins and minerals you need for healthy sperm – wholegrain carbs; lean proteins and omega-3 rich fish; low-fat dairy and plenty of fruit and vegetables.

Exercise

Exercise regularly – this doesn’t have to involve joining a gym. Exercise is one of the best relaxation techniques to combat stress and anxiety, and you’ll also help keep yourself – and your sperm – fit and healthy at the same time.

 

https://www.manchesterfertility.com/blog/male-fertility-ivf-preparation-for-men/

Azoospermia

18
March

Azoospermia means there’s no sperm in a man’s ejaculate. Its causes include a blockage along the reproductive tract, hormonal problems, ejaculation problems or issues with testicular structure or function. Many causes are treatable and fertility can be restored. For other causes it may be possible to retrieve live sperm to be used in assisted reproductive techniques.

What is azoospermia?

Azoospermia is a condition in which there’s no measurable sperm in a man’s ejaculate (semen). Azoospermia leads to male infertility.

Are there different types of azoospermia?

There are two main types of azoospermia:

Obstructive azoospermia: This type of azoospermia means that there is a blockage or missing connection in the epididymis, vas deferens, or elsewhere along your reproductive tract. You are producing sperm but it’s getting blocked from exit so there’s no measurable amount of sperm in your semen.

Nonobstructive azoospermia: This type of azoospermia means you have poor or no sperm production due to defects in the structure or function of the testicles or other causes.

Azoospermia

What are the causes of azoospermia?

The causes of azoospermia relate directly to the types of azoospermia. In other words, causes can be due to an obstruction or nonobstructive sources.

Obstructions that result in azoospermia most commonly occur in the vas deferens, the epididymus or ejaculatory ducts. Problems that can cause blockages in these areas include:

  • Trauma or injury to these areas.
  • Infections.
  • Inflammation.
  • Previous surgeries in the pelvic area.
  • Development of a cyst.
  • Vasectomy (planned permanent contraceptive procedure in which the vas deferens are cut or clamped to prevent the flow of sperm).
  • Cystic fibrosis gene mutation, which causes either the vas deferens not to form or causes abnormal development such that semen gets blocked by a buildup of thick secretions in the vas deferens.

Nonobstructive causes of azoospermia include:

  • Genetic causes. Certain genetic mutations can result in infertility, including:
    • Kallmann syndrome: A genetic (inherited) disorder carried on the X chromosome and that if left untreated can result in infertility.
    • Klinefelter’s syndrome: A male carries an extra X chromosome (making his chromosomal makeup XXY instead of XY). The result is often infertility, along with lack of sexual or physical maturity, and learning difficulties.
    • Y chromosome deletion: Critical sections of genes on the Y chromosome (the male chromosome) that are responsible for sperm production are missing, resulting in infertility.
  • Hormone imbalances/endocrine disorders, including hypogonadotropic hypogonadism. hyperprolactinemia and androgen resistance.
  • Ejaculation problems such as retrograde ejaculation where the semen goes in to the bladder
  • Testicular causes include:
    • Anorchia (absence of the testicles).
    • Cyptorchidism (testicles have not dropped into the scrotum).
    • Sertoli cell-only syndrome (testicles fail to produce living sperm cells).
    • Spermatogenic arrest (testicles fail to produce fully mature sperm cells).
    • Mumps orchitis (inflamed testicles caused by mumps in late puberty).
    • Testicular torsion.
    • Tumors.
    • Reactions to certain medications that harm sperm production.
    • Radiation treatments.
    • Diseases such as diabetes, cirrhosis, or kidney failure.
    • Varicocele (veins coming from the testicle are dilated or widened impeding sperm production).

How is azoospermia diagnosed?

Azoospermia is diagnosed when, on two separate occasions, your sperm sample reveals no sperm when examined under a high-powered microscope following a spin in a centrifuge. A centrifuge is a laboratory instrument that spins a test sample at a high speed to separate it into its various parts. In the case of centrifuged seminal fluid, if sperm cells are present, they separate from the fluid around them and can be viewed under a microscope.

As part of the diagnosis, your healthcare provider will take your medical history, including asking you about the following:

  • Fertility success or failure in the past (your ability to have children).
  • Childhood illnesses.
  • Injuries or surgeries in the pelvic area (these could cause duct blockage or poor blood supply to the testicles).
  • Urinary or reproductive tract infections.
  • History of sexually transmitted diseases.
  • Exposure to radiation or chemotherapy.
  • Your current and past medications.
  • Any abuse of alcohol, marijuana or other drugs.
  • Recent fevers or exposure to heat, including frequent saunas or steam baths (heat kills sperm cells).
  • Family history of birth defects, learning disabilities, reproductive failure or cystic fibrosis.

Your healthcare provider will also conduct a physical examination, and will check:

  • Your entire body in terms of signs of/lack of maturation of your body and reproductive organs.
  • Your penis and scrotum, checking for the presence of your vas deferens, tenderness or swelling of your epididymis, size of the testicles, the presence or absence of a varicocele, and any blockage of the ejaculatory duct (via exam through the rectum) as evidenced by enlarged seminal vesicles.
  • Your healthcare provider may also order the following tests:
  • Measurement of testosterone and follicle-stimulating hormone (FSH) levels.
  • Genetic testing.
  • X-rays or ultrasound of the reproductive organs to see if there are any problems with the shape and size, and to see if there are tumors, blockages or an inadequate blood supply.
  • Imaging of the brain to identify disorders of the hypothalamus or pituitary gland.
  • Biopsy (tissue sampling) of the testes. A normal biopsy would mean a blockage is probable at some point in the sperm transport system. Sometimes, any sperm found in the testes is frozen for future analysis or can be used in assisted pregnancy.

 

How is azoospermia treated?

Treatment of azoospermia depends on the cause. Genetic testing and counseling are often an important part of understanding and treating azoospermia. Treatment approaches include:

  • If a blockage is the cause of your azoospermia, surgery can unblock tubes or reconstruct and connect abnormal or never developed tubes.
  • If low hormone production is the main cause, you may be given hormone treatments. Hormones include follicle-stimulating hormone (FSH), human chorionic gonadotropin (HCG), clomiphene, anastrazole and letrozole.
  • If a varicocele is the cause of poor sperm production, the problem veins can be tied off in a surgical procedure, keeping surrounding structures preserved.
  • Sperm can be retrieved directly from the testicle with an extensive biopsy in some men
  • If living sperm are present, they can be retrieved from the testes, epididymis or vas deferens for assisted pregnancy procedures such as in vitro fertilization or intracytoplasmic sperm injection (the injection of one sperm into one egg). If the cause of azoospermia is thought to be something that could be passed on to children, your healthcare provider may recommend genetic analysis of your sperm before assisted fertilization procedures are considered.

Azoospermia 

Sometimes, IVF for male infertility is the best treatment option. When the semen analysis is abnormal and identifies a male factor, it’s important to look for the cause. If the low sperm count appears to hormone-related, caused by an infection or related to a male anatomic abnormality, basic treatments may be used. If these do not work, or if it is a more severe case of male infertility, IVF is usually the treatment of choice.

IVF for male infertility

Options other than IVF for male infertility

For hormonal imbalances like a low testosterone level, Doctor may choose medications like Clomid or fertility shots. The partners of men with decreased sperm counts and normal hormone levels will often undergo IUI. This is a simple and relatively inexpensive treatment for mild cases of male infertility.

Anatomical abnormalities that contribute to male infertility often require further evaluation by a urologist. Urologists are specialists regarding the male reproductive system. They will work with Doctor to determine what treatment is necessary.

If the sperm count is too low for IUI, IVF for male infertility may be the best treatment option. This treatment is a very successful option for couples with male factor infertility.

When do we recommend IVF for male infertility?

If a semen analysis reveals a very low concentration of normal sperm, Doctor often will recommend IVF for male infertility. This is because the chances of success are much better than with timed intercourse or IUI.

IVF is also a good option when there are multiple fertility factors, such as a low sperm count in combination with a blocked tube, difficulty in ovulation or advanced age of the woman. IVF can be the most effective treatment for couples in these situations by increasing the chance for fertilization of the egg.

The reason why is as follows: