TREATMENT OF INFERTILITY IN THE MALE.
Androgenic preparations are used when normal spermatogenesis is to be achieved. Androgen preparation for replacement therapy:
Methyltestosteron per oral 25-50 mg daily; sublingual ] 5-10 mg /day.
Fluoxymesterone per oral 10 mg / day or;
Testosterone, transdermal 2.5-10 mg/ day; or
Testosterone topical gel [1 %] 5-10 g gel / day; or
Testosteron intramuscular [IM] 30-60 mg daily for the husband, on the 5th day-11th day of the menses of his wife. Large dose of testosterone depress spermatogenesis, but if stop or intermittent low dose may be of value of some patients or relief the oligosperm Harvey and Jackson have attributed the beneficial effect to more efficient erection and ejaculation and to improvement in the quality of the semen. Androgen therapy is contraindicated in patients with carcinoma of the prostate .
Source: Cecil & Loeb. A Textbook of Medicine, W.B. Saunders Company, USA, 1959, p 753.
Human chorionic gonadotropin [hCG] is injected IM at a dose of 75-150 units three times per week.
Treatment hypothyroidism with levothyroxine 50-100 microgram per day and liothyronine 10 microgram per day.
Sodium bicarbonate 500 mg per oral one gram twice daily has the effect to induce alkaline of the semen, which is favorable for spermatozoa media to move or propulsion.
Vitamin support spermatogenesis and strength of sperm motility:
Vitamin A 20 000 IU per oral daily and vitamin E 100 IU per oral daily , the purpose of these two vitamns are to stimulate spermatogenesis in the testes.
Neurotropic and neuronmyalgic vitamins such as tablet neurobion or neurodex, consist of vitamin B1 100 mg, B6 200 mg and B12 250 microgram. The purpose of these vitamins are to strengthen motility of sperms in the semen of the husband and in the secretion of genital tract of his wife, and then to facilitate fertilization.
All of these vitamins can strengthen the health of the husband too.
10.ADVICE FOR COUPLES TO HAVE CHILDREN