Male Infertility

 
 
New technique gives hope to infertile men
Male Infertility May Raise Testicular Cancer Risk

  New technique gives hope to infertile men

A team of European scientists reported success with a new fertility technique that gives hope to tens of thousands of men with zero or very low sperm counts who want to father children. Infertility researchers in France, Germany, Turkey, Italy and Spa in said they had taken testicular cells from five men who were either infertile or sub-fertile and matured them in a solution with testosterone and another hormone which stimulates sperm production. The research, published in a letter to The Lancet medical journal, resulted in one man and his partner celebrating the birth of twin babies. Another patient got his partner pregnant but the embryo developed in the woman's fallopian tubes rather than her uterus and failed to survive.The researchers told The Lancet in a letter that "in-vitro culture may help to select healthy germ cells to be used for assisted reproduction." One of the team, Italian Ermanno Greco, said that if correctly carried out the success rate of the new method was very high. "That is, out of 100 couples, 80 achieve a pregnancy after three attempts," Greco was quoted as telling the Italian newspaper Giornale. "Thanks to this technique in at least 30 percent of those cases where spermatozoids are not present in the testicles, but only their progenitor cells, it is possible to bring these cells to maturity," Greco added.


Male Infertility May Raise Testicular Cancer Risk

Men with low fertility have double the risk of testicular cancer than men with normal fertility, Danish researchers say. Researchers at the Danish National Research Foundation conducted a telephone survey in 1989 and 1990 that asked hundreds of men about their reproductive history, sexual habits, marriage status, education and disease background.

They based their conclusions on data collected from about 514 testicular cancer patients and 720 men without the disease. Researchers found that men who had fathered at least one child or who had impregnated a woman had a significantly lower risk of testicular cancer, and that the reduction in risk increased with each child they fathered up to a point. However, extremely high fertility did not lower testicular cancer risk, researchers say.
Researchers also found that sexually transmitted diseases did not appear to affect testicular cancer risk. The study's findings confirmed other research in which doctors found testicular cancer patients had low sperm counts and impaired sperm production. Researchers say testicular cancer cases have risen over the past few decades at the same time sperm quality has declined. Researchers suggest male embryos may be exposed to substances that affect the normal hormonal balance, which could then affect fertility. This study appears in the Feb. 26 issue of the British Medical Journal.

 

 

Dr. Manbir Singh