2023-06-07 00:05:00
[현대건강신문] After getting married in their 20s, and there was no news of a child after trying to conceive naturally for 10 years after marriage, a man (38) and a woman (32) visited the hospital. found.
Non-obstructive azoospermia is a problem in the production of sperm due to a problem in the testicles. The husband performed sperm collection to extract sperm from the testicles, and then successfully conceived a test tube baby and gave birth to a healthy child.
As a result of MizMedi Hospital’s analysis of 12,655 patients diagnosed with male infertility from 2013 to 2022, the total number of male infertility patients increased from 1,095 in 2013 to 1,464 in 2022, a 33.7% increase from 10 years ago.
As a result of looking at each age group, those in their 30s accounted for the largest proportion, and over the past 10 years, those in their 20s and 30s decreased while those in their 40s increased.
The proportion of male infertility patients in their 30s decreased from 74.2% in 2013 to 72.6% in 2022, and the proportion of patients in their 20s also decreased from 7.6% in 2013 to 5.8% in 2022.
On the other hand, the proportion of patients in their 40s increased from 16.4% in 2013 to 20.4% in 2022.
Kim Ki-yeong, director of the Urology Department at MizMedi Hospital, said, “In the past, women sought infertility hospitals mainly because they tried to find the cause of infertility only in women. It is relatively simple compared to female infertility tests, so more men are visiting the hospital. As the age of marriage and childbirth increases, the age of male infertility patients is increasing.”
The causes of male infertility include spermatogenesis disorders, sperm migration disorders, and functional disorders in the marital relationship.
Spermatogenesis disorder is a case in which normal sperm are not produced in the testis, resulting in a decrease in sperm number, decreased activity, and abnormal shape. This is when there is a problem with sperm movement and excretion. If you have difficulty in marital relations due to erectile dysfunction or ejaculation disorder, pregnancy may be difficult.
Sperm are made in organs called seminiferous tubules in the testicles. Sperm cells in the seminiferous tubule start with spermatogonial cells, go through first spermatocytes, second spermatocytes, sperm cells, condense heads, and develop tails, and finally become mature sperm. This process takes about 74 days.
MizMedi Hospital Urology Department Director Kim Ki-young said, “It takes another 10 to 14 days for sperm produced in the testicles to travel through the epididymis and vas deferens and come out.” We have to work hard to make it.”
The following is the contents of ‘Daddy’s preparation for pregnancy’ revealed by Kim Ki-young.
△ Manage your stress well. When exposed to a severe stressful environment, a hormone called prolactin increases, and this hormone decreases FSH, LH, and male hormones, causing infertility.
△ Regular and sufficient sleep is important. FSH, LH and male hormones, which play an important role in spermatogenesis, increase during the day and decrease at night. However, if you change your life day and night or suffer from a lack of sleep for a long time, the secretion of hormones is not smooth and the quality of sperm decreases.
△ Maintain an appropriate weight and eat a balanced diet. As weight increases, fat tissue increases, and the ratio of male hormones to female hormones increases in the increased fat tissue.
Avoid excessive exercise. Appropriate exercise burns activated oxygen in the body, and in the case of obesity, reduces the amount of fat tissue and reduces the ratio of female hormones. It also helps to obtain healthy sperm by inducing an increase in male hormones in the testicles by calming the sympathetic nerves that have been activated by stress.
However, excessive exercise causes excessive secretion of activated oxygen, which reduces the function of sperm. Although there are individual differences, it is recommended to do aerobic exercise 3-4 times a week for about an hour.
Stop drinking and smoking now. Smoking causes infertility by increasing active oxygen in the body, reducing sperm function and damaging DNA in the sperm nucleus. In addition, when liver function declines due to alcohol intake, metabolic problems occur, resulting in an increase in the female hormone estrogen, which interferes with sperm formation.
△ Keep the testicular temperature low. Saunas, jjimjilbangs, and frequent half-baths should be avoided to prevent the temperature of the testicles from rising. Avoid wearing tight underwear or pants, and avoid sitting for too long or sitting with your legs crossed. It is good to keep it 1-2 degrees lower than body temperature.
Eat nutrients that improve sperm quality. Supplementation of nutrients such as vitamins C, E, zinc, folic acid, glutathione, selenium, carnitine, arginine, and coenzyme Q10 can improve several indicators of sperm.
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