​Male Infertility Sexual Disorder

Male infertility sexual disorder is the infertility of the male reproductive system which prevents a man from impregnating their female partner. This means that despite having frequent sexual intercourse, a couple is unable to have a child, due to the male's medical condition

One of the most common causes of male infertility sexual disorder is the inability to make healthy, properly shaped or mature sperm. This could be the result of genetic diseases, immune or hormonal problems, inflammation or excessive use of caffeine and steroids. Problems with proper ejaculation due to penile structural defects could also play a part in the disease. 

Men with a history of hernia repair, genital infections and injured testicles are usually at higher risk of having the disorder.

There might be no visible or apparent symptoms for male infertility sexual disorder. Intercourse might be normal and the sperm shape and size might appear fine to the untrained eye as well. However, you may have male infertility sexual disorder if you are unable able to impregnate your partner, over one complete year of unprotected, regular sex.

If you experience the above symptoms, you should see your doctor or consult the physicians from the Kidney and Bladder service line at The Aga Khan University Hospital. The symptoms of male infertility sexual disorder sometimes resemble those of other penile diseases. An accurate diagnosis early on is important for an effective treatment.

Your time with your doctor maybe limited, so make sure to prepare for your visit beforehand. Here are some tips to help get you started.

The doctor may begin by assessing your medical history, performing a physical exam and running blood tests. This would help rule out infection and hormonal issues as probable causes.

A semen analysis might follow to determine the shape, form, size, volume and count of sperm in your semen. As part of this process, you might be asked to provide multiple semen samples on different days. Your health provider will give you proper instructions in order to avoid contamination of the samples.

Imaging tests might further be performed to obtain visual image of the organs and the reproductive tract, including the blood vessels, scrotum and testicles. These tests include Magnetic Resonance Imaging (MRI), ultrasound and Computerized Tomography (CT) scan.

Finally, a biopsy of the testicles might be prescribed to confirm a diagnosis. This would involve extracting sample tissues from your testicles and sending them to the laboratory for analysis.

The initial treatment may aim to deal with the disorder through oral medication. If oral medications prove not to be suitable or sufficient, a range of other treatments options exist. These include injections, physical therapy, testosterone replacement and surgery.

The use of injections involves self-injecting medication into the side of your penis. The result is an artificial erection that lasts for around an hour.
Another delivery method involves placing an erection-inducing drug into a drug delivery device (suppository) which is then inserted into the urethra where it dissolves in the blood stream. This treatment also results in an hour-long erection.

Testosterone replacement is usually needed in men suffering from low levels of hormonal testosterone. As the name suggests, this therapy involves the replacement of testosterone via methods including injection, patch, gel and gum.
Penile implants consist of surgically implanting inflatable rods on either side of the penis. When an erection is required, the rods can be inflated and kept as such for as long as required. These rods are made so that they are both flexible and robust, thus properly simulating the solidity and flexibility of the erected penis.

In cases where sexual dysfunction is due to obstructed blood-vessels, a surgery might be required.

The Aga Khan University Hospital offers various support services to help with managing or recovering from the disease or condition. These include but are not limited to nutrition, physiotherapy, rehabilitation, specialized clinics and some patient support groups. Your doctor or nurse will advise you accordingly.

The Aga Khan University Hospital offers financial assistance to those who are in need and fulfil the eligibility criteria. For further information, you can contact the Patient Welfare Department. You can find the contact number of the Patient Welfare Department in the ‘Important Numbers’ section on the website homepage.

The financial counselling staff is available during office hours, at the main PBSD (Patient Business Services Department), to answer your financial queries on treatments’ costs and authorize admissions on partial deposit as per hospital policies allow. The financial counsellor in the emergency room is open 24/7. You can find the contact number of the Patient Business Services in the ‘Important Numbers’ section on the website homepage.

Your doctor and or nurse will give you specific instructions about the prescribed medication. Please ensure that you take or use the prescribed medicine as advised. It can be dangerous to your health if you self-prescribe. Please inform the doctor or nurse beforehand if you have experienced any adverse reactions to any medications in the past. If you experience any symptoms of drug poisoning, overdose or severe reaction please contact the Pharmacy Service at The Aga Khan University Hospital immediately. You can find the contact number of the Pharmacy Services in the ‘Important Numbers’ section on the website homepage.

The information provided on our website is for educational purposes and not intended to be a substitute for medical advice, diagnosis or treatment. You should always seek the advice of your doctor or other healthcare professional provider.