In fact, married life feels more complete with the baby’s presence. But in some couples, marriage without baby feel depressed. In medical glasses, a couple who without contraception for a year but have not experienced pregnancy can be called infertile couples. Not merely the cause of the woman, men also accounted for 30-40 percent of infertility couples.

As experienced David (38). After the second year of marriage, he and his wife claimed to begin to wonder why the baby would not go there. After undergoing the examination, the results reveal David had varicocele.

“After consulting with my doctor, I decided to undergo surgery for 15 minutes to tie the veins,” he said. And, three months later, the wife finally pregnant normally. Currently the couple has children aged 20 months.

Similar experience was also experienced partner Victoria and husband. After undergoing micro surgery for varicocele bind, within one year after treatment was an increase in the number and quality of sperm motility the husband. After 2.5 years of marriage the couple managed to the pregnant normally without artificial insemination.

According to Dr. Nurdin, varicocele is a venous blood vessels around the testicles or scrotum are dilated, causing increased air temperature in the testes. Yet as the ‘factory’ spermatozoa, testes outside the body is designed so that its temperature is 2-4 degrees cooler. “If temperatures rise by widening blood vessels, the result would raise the temperature of the testicles that interfere with sperm production,” he said.

Varicocele or blockage of veins in the testicle bag was found in 1 to 45 percent in healthy men and 11-22 percent in men with infertile conditions.

According to Dr. Nurdin, patients with varicocele condition is detected as a teenager when left in 5 years would reduce the ability of sperm production. And, in 10 years will create a smaller testis volume that contribute to reproductive capability.

How do I know the symptoms of varicocele? According to Dr Nur Rashid, symptoms of varicocele can be known by palpating the surrounding testis. In stage I, varicocele can be felt when pushing new. In stage II, can be felt without straining and at stage III, varicocele clearly visible from the surface of the testis.

“There is due to varicocele veins do not have a congenital valve but have also experienced widening of the veins,” he explained.

If there are vericocele symptoms, testicular volume measurements are also necessary. Testicular volume is normal, said Dr. Rashid each 15 ml of on the left and right that will be done when a man puberty. “It used to compare measurements with tools such as the rosary to view full size. But this time have used ultrasound to compare the length, width.”

If found teens who have below normal testicular size, medical treatment is usually done with medication or surgical intervention that is claimed to have a 60-70 percent success. “Of the various techniques, such as conventional surgery, radiological, embolization, laparoscopic surgery, micro surgery gives the best results with maximum side-effects.”

Through micro-surgical techniques, doctors will open the blood vessels around the testicles and tie dilated veins. So that blood will flow through the vein normal, ie that has a valve. Usually the results will be seen 3 months to a year,” he said.

However, do not rule out also after the micro surgery, a vein in the scrotum again widened. This usually happens to those who have a congenital abnormality or dilated veins without valves.

In addition to the spermatozoa from varicocele, male infertility is also caused by genetic, idiopathic, or unknown, spermatozoa obstruction, congenital abnormalities, transmitted infections, and hormonal disorders. While factors such as non spermatozoa s3xual disorders, erectile dysfunction, ejaculation disorder or anatomic abnormalities of the penis or couples rarely had love.

Lifestyle Factors
Prof Akmal Taher is also reminiscent of a lifestyle is often a trigger male infertility. “Smoking, drinking alcohol, like hot tubs, sauna, lap laptop at work or wearing tight underwear will interfere with the formation of sperm,” he said.

Steroid hormones such as testosterone injections forming the body can interfere with fertility. “Testosterone from the outside will make the body stop producing testosterone naturally. When will stop the ongoing production of spermatozoa in stages or total.”

He suggested that the side effects to consider intake hormones from outside, lead a healthy life and eliminate bad habits to maintain the quality of the candidate offspring.

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