- In the large majority of infertile men, mostly in case of oligoasthenospermia medical science failed to confirm cause of low sperm count & motility.
- Even many medicine like antioxidants and motility enhancers are available in market to improve motility & sperm count but the results are conflicting.
- The current impression in that these drugs are not to be recommended for use in routine infertility practice.
- Mineral substitutes, trace elements like selenium, zinc, carnitine and antioxidants have all been tried to improve the sperm motility with no proven effect.
- Who was unable to document any significant improvement in pregnancy rates in patient treated with clomiphene citrate.
- Many drugs which are used in common practice will have reversible or irreversible suppress spermatogenesis.
- Oral medicine or injection are only effect in following to treat medical infertility like
- Hypogonadotropic Hypogonadism
- Inj. HCQ and Inj. HMQ
- Hyperprolactinemia
- Bromocriptine or cabergoline
- Genital tract infection
- Antibiotics
- Sexual dysfunction
- Sildenafil, tadalafil, verdenafil
- Retrograde ejaculation
- Sympathomimetic agent
- Hypogonadotropic Hypogonadism
- Infertility is a race against time, loss of time means you loss your fertile period.
- So instead of wasting time on unproven therapies efforts should be made to either treat female partner or to undertake active management of the couple by IUI or IVF-ICSI.
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