JAKARTA - The habit of smoking, drinking alcohol, like soaking in hot water, sauna, lap laptop at work, often wearing tight underwear can cause an increase in testicular temperature.
Formation of spermatozoa in the testes occurred at a temperature of 2-4 degrees C lower than body temperature, so the increase in temperature can disturb the formation of spermatozoa. For that poor lifestyle should be removed.
"Men who use testosterone usually are those who want to bring up his muscles or low testosterone levels can have azoospermia," said Prof. Dr. dr. Akmal Taher, SpU (K) in Jakarta, Tuesday (02/22/2012).
He said, spermatogenesis (sperm formation) is dependent on the production of testosterone by the testes. If testosterone is given of the testicles outside the body will stop producing the body's natural testosterone.
High testosterone levels because of the provision in the form of oral medication or injections will stimulate a feedback mechanism that causes the levels of FSH (a hormone which instructs the testes to make sperm) will decrease, this will stop the production of spermatozoa either in stages up to the total.
These side effects can last for a while or even permanently. The young man who was planning to found a family should consider these side effects. "
Prof. Akmal suggested before treatment, doctors usually conduct interviews to find the factors - factors that cause infertility, such as an unhealthy lifestyle. After the physical examination to look for other causes.
"In certain circumstances, there is a smaller testis compared to the normal testis or even not found at all in the testicles (scrotum). Should also look for signs of secondary sex that roughly describes the state of secondary sex hormones," he said.
Also important is checked whether or not a varicocele. Dilated veins in the legs (especially common in women) are called varicose veins, whereas when blood vessels are dilated veins in the testicles is called a varicocele. Spermatozoa tract (vas deferens) also needs to be examined, in particular Bawan disorders, this channel is not formed.
"Some of the additional examination is often necessary hormonal and ultrasound examination of the scrotum. Goal is to determine hormonal abnormalities that play a role in the formation of spermatozoa," he explained.
Scrotal ultrasound is performed to ensure testes size, presence or absence of varicocele and look for some other disorders. Other tests can be done is an examination of sex chromosomes.
In certain circumstances there is a chromosomal disorder that causes impaired formation of spermatozoa. However, this examination has not been used as the standard because there is no gene therapy at this time "he added.
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