UAE Doctors Ignore Lifestyle Risk of Fertility



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Men who want to have children need to avoid harmful lifestyles limit their chances of design, say the experts.

The number of sperm is declining worldwide, according to UAE doctors who treat more barren men than ever before.

Obesity is one of the main factors, but radiation from work environments, smoking and sitting for long periods of time also affect reproductive health.

A tendency to use steroids in gyms also has a detrimental effect on sperm quality, experts said.

"I am not convinced that male infertility is more of a problem here than elsewhere, but we are seeing an increased incidence of male infertility and undernutrition.the optimal motility of sperm in our clinics, "said Dr. Pankaj Shrivastav, director of Conceive Gynecology and Fertility Hospital in Dubai and Sharjah.

"Men are more aware of their own fertility today, but they prefer to take three months of hormone injections than to reduce their smoking."

Men who smoke have a decrease in sperm concentration and sperm increases damage to DNA, reduces motility (ability to swim) and is less likely to be in shape normally than non-smokers. Despite the decrease in smoking in the United Arab Emirates, a growing trend towards e-cigarettes is not expected to halt the decline in fertility, doctors said.

Dr. Shrivastav said go to electronic cigarettes is also harmful for sperm.

"Smoking and alcohol remain a major fertility problem, but we are seeing new trends, such as the use of steroids, and increased consumption of chisha and medwahk that also destroy sperm," he said. he declared.

"Men must understand the damage they do.

"Some people think that e-cigarettes are a better alternative, but they continue to provide nicotine with a significant impact on sperm production."

The World Health Organization badesses the quality of a country's tobacco control policies and includes economic measures and health interventions. such as anti-smoking programs. A higher A rating is offered to countries with the most stringent anti-tobacco policies, with the UAE ranked in Category C in 2017.

L & # 39; WHO reports that about 8% of couples in Category C countries are infertile compared to 80% about 10 to 15% in the industrialized countries.

Male infertility is recorded in 30 to 35% of cases.

Exposure to temperature and radiation may also hinder sperm production and is responsible for about half Dr. Muthanna Alrawi, consulting urologist at Canadian Specialist, on cases of male infertility Hospital, Dubai.

"The men I see often badume that their wives are infertile and therefore have not conceived," he said.

"They are often surprised when I ask them if they have also been checked. It is important to make sure that we offer the right treatment. " During his 12 years of working with infertile patients, Dr. Alrawi has found a growing number of men with sperm quality problems.. His findings give weight to the discussion about the impact of modern lifestyles.

"It's important for men to know that we can collect sperm and improve its quality, even in men with very low sperm counts," he said.

"There are treatments available for men affected should not lose hope.

"Every three months, there is a new generation of sperm. The testicles are like a factory, so things can always improve in most cases. "

Cases can be managed with a minimally invasive procedure, using microscopic extraction of testicular spermatozoa.

Patients are also subjected to a hormonal treatment plan to increase testosterone levels in order to improve their sperm production.

This can help improve sperm quality to make them stronger and more likely to be effective in terms of fertility.

The procedure costs around 10,000 dirhams, but is generally not covered by health insurance.

Sperm extracted can be frozen and used for in vitro fertilization.

"In the UAE, male infertility is not covered by health insurance because it can be expensive," Dr. Alrawi said.

"Lifestyle, living environment and basic genetics play an important role in sperm production, especially on their motility.

"Smoking is damaging to sperm and one of the most common reasons for infertility in men in this region."

Last Updated: July 6, 2019 19:42

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