Treatment of male infertility using hormones and physiotherapy

Almost every woman dreams of becoming a mother. But in the modern world, a considerable percentage of couples remain childless due to infertility.

Problems occur in both the body of men and women.

There are many techniques to help solve the problem. Some are interested in how physical therapy can help with female infertility, how to help conceive a child using this method.

For what diseases is the use of physiotherapy indicated?

The doctor decides whether physical therapy is required for infertility only after the patient has been unable to become pregnant for a year. Previously, diagnostic and therapeutic measures are usually not carried out.

Physiotherapy is used in the presence of pathologies for which medication methods have proven ineffective. This technique allows you to speed up the treatment process and shorten the rehabilitation period after illness.

Use in case of fallopian tube obstruction

Less commonly used as prophylaxis. Physiotherapy for infertility in women is used in the presence of the following diseases and conditions:

obstruction of the fallopian tubes;
erosive formations;
inflammatory pathologies in the uterus, appendages;
functional cysts in remission;
chronic and acute diseases in the reproductive system.

Physiotherapy techniques are used at the stage of preparing a woman for in vitro fertilization. This allows you to restore the mucous membrane of the organ and prepare it for the implantation of a fertilized egg.

What types of physiotherapy are used for female infertility?

Physiotherapy for infertility is a universal safe method that has no side effects.

The procedure improves the general condition of the pelvic organs, as it normalizes blood circulation processes. It is worth considering the most used methods of physiotherapy.

Magnetotherapy

The improvement in the patient's condition is noticeable after just a few procedures.

Magnetic therapy for the treatment of female infertility

The following effects can be achieved:

reduction in pain severity;
reduction of the inflammatory process;
normalization of blood circulation.

By improving blood circulation, tissues are better supplied with oxygen, and blood quality improves. At the same time, there is no increase in blood pressure during the procedure.

Magnetic therapy is used in cases where a woman has had an unsuccessful IVF attempt and is under stress. The procedure helps to cope with depression and neuroses.

Pulse currents

The method has the following effect:

relieves spasms;
improves nutrition of tissues of reproductive organs;
relieves pain.

The method is more effective if used in the initial stages of the disease.

Ampipulse therapy to help with female infertility

The course of treatment includes 5-10 procedures. You cannot interrupt treatment or skip procedures.

Ultrasonic exposure

Ultrasound treatment is used by women for infertility caused by various reasons.

The procedure has the following effect:

softens formed adhesions;
stabilizes hormonal levels;
increases blood flow in the uterus and ovaries.

The course of treatment consists of 10 procedures. Can be combined with planned hormonal therapy.

Phototherapy is another physical therapy method for treating gynecological problems.

Used for the following diseases:

endocervicitis;
colpitis;
pathological proliferation of endometrial tissue.

Light waves have a bactericidal effect. You cannot combine the use of ultraviolet and infrared radiation.

Balneotherapy

During the treatment process, hydrogen sulfide waters from the Matsestinsky deposit are used. The method of physiotherapy consists of vaginal irrigation with prepared compounds.

Table for gynecological irrigation with mineral water

The following result is achieved:

normal function of the endocrine glands is restored;
metabolism is normalized;
the activity of some enzymes changes.

The method of vaginal irrigation helps stimulate the production of sex hormones, starting the process at the level of the hypothalamus and pituitary gland.

Radon, iodine-bromine and sulfide waters can be combined with hydrogen sulfide waters.

Mud therapy

Treatment using mud is another method of physiotherapy.

Mud treatment scheme for female infertility

The procedure is carried out as follows:

the mud is heated;
inserted into the vagina using a special device;
at the same time, warm mud applications are placed on the stomach in the projection of the uterus.

Treatment duration is 18 sessions. More often the procedures are carried out every day.

Principles for choosing the right method

Only a doctor can decide how to treat a woman’s infertility.

To do this, he conducts an examination to identify the suspected cause of the problem.

Physiotherapy in gynecology for infertility is an effective method. Depending on the diagnosis, it can be either the main or an auxiliary method of therapy.

The doctor takes into account the patient’s condition, duration of infertility and age. It is necessary to conduct an ultrasound examination to determine the level of hormones in the blood. A correctly selected treatment method is the key to getting rid of infertility.

Contraindications for use

Reviews show that physiotherapy for infertility is effective. But this safe procedure also has a number of contraindications.

Prohibition on physiotherapeutic procedures if you have a pacemaker

The process should be abandoned if the following conditions and diseases are present:

systemic pathologies;
severe hypertension;
severe exhaustion;
advanced cerebral atherosclerosis;
decompensation of cardiovascular diseases;
different forms of arrhythmia;
bleeding;
elevated body temperature – from 37.5;
epilepsy with frequent seizures;
infections in the acute stage;
the appearance of neoplasms;
installed pacemaker.

Physiotherapy is not provided to patients with mental illness. The method should be abandoned in the presence of hysteria and psychosis.

Conclusion

Every woman can cope with infertility. Physiotherapy is one of the effective methods of treating this disease.

You can begin therapy after examination by a good doctor and an accurate diagnosis.

Video: Physiotherapy for pelvic inflammatory diseases in women

Source: https://detieco.ru/encyclopedia/besplodie-zhenskoe/fizioterapiya-pri-zhenskom-besplodii/

Physiotherapy in the treatment of female and male infertility

Infertile marriage is a fairly common problem in modern society.

Its causes are varied: ecology, endocrine disorders, heredity, inflammatory diseases of the genital area, sexually transmitted infections, neuropsychiatric disorders.

To eliminate them, various methods are used: medications, instrumental ones. Physiotherapy is also widely used in gynecology for infertility.

Separate female and male infertility. According to statistics, in the absence of children, an equal percentage is occupied by both female (40%) and male (40%) infertility. And only 20% are allocated to couple infertility or immunological incompatibility. Infertility means the absence of pregnancy within a year of sexual activity without the use of any contraceptive methods.

Causes of infertile marriages

Infertility in women can occur for several reasons:

Hormonal (endocrine): associated with a disruption in the production of sex hormones on certain days of the menstrual cycle, as a result of which there is no ovulation, preparation of the endometrium of the uterus for the attachment of the fertilized egg.
Adhesions after suffering from inflammation of the pelvic organs. Gynecological history of salpingitis, adnexitis, endometriosis, surgery, trauma to the pelvic and abdominal organs, including abortion.
Immunological incompatibility: the genesis of this type of infertility is unclear.
Malformations of the genital organs: abnormal position of the uterus, bicornuate uterus.

The cause of male infertility is various pathological conditions affecting not only the reproductive system, but also other systems of the body.

After diagnosis, the following causes are usually identified: impotence, inflammatory diseases of the genital organs (urethritis, prostatitis, adenoma), hormonal imbalance, sexually transmitted infections, psychological factors.

Comprehensive treatment, in which physiotherapy plays an important role, leads to good results in the treatment of both partners.

Physiotherapy methods in the treatment of infertility

In addition to medicinal methods, physiotherapeutic methods of treatment are used in gynecology, andrology and urology. Highlight:

Electrotherapy: galvanization method and electrophoresis, including the use of drugs.
Light therapy (phototherapy).
Ultrasonic method.
Magnetotherapy.
Mud therapy.

The use of current in the treatment of infertility

Electrotherapy includes the galvanization method and medicinal electrophoresis. The action of direct current relieves vascular spasm, improves blood circulation and metabolic processes, enhances repair, and has a resorption effect. The introduction of drugs using electrophoresis enhances its effect.

Galvanization of the upper cervical sympathetic nodes is used for treatment. For hyperestrogenism, zinc electrophoresis is recommended, and for hypoestrogenism, copper electrophoresis is recommended.

The infantile (underdeveloped) uterus is favorably affected by calcium electrophoresis in the pelvic organs. Inflammation of the uterus and appendages in the chronic stage decreases with sodium thiosulfate electrophoresis.

Ovarian function is normalized by the use of chymotrypsin, zinc and copper. Electrophoresis of iodine and lidase solutions effectively combats adhesions.

For male infertility, electrophoresis of vitamins, enzymes and microelements is used. Local action leads to improved blood circulation, reduction of inflammation, and disappearance of dysuric disorders. Sperm motility increases and erectile function improves.

Ultrasound therapy

Ultrasound is another method of physical treatment used in the treatment of infertility. It is based on the spread of energy in a heterogeneous environment, performing a “micro-massage” of tissues.

Ultrasound has a pronounced anti-inflammatory, analgesic and vasodilator effect. It relieves vascular spasm and nervous excitability.

Under its influence, regeneration is accelerated, adhesions and scar processes are reduced.

In gynecology, ultrasound (ultraphonophoresis) with hydrocortisone is used on the lower abdomen and paravertebral region of the lumbosacral spine during the subacute stage of the pelvic inflammatory process. In men, a combination of ultrasound and medications, including mud, is used in the treatment of chronic prostatitis.

Magnetotherapy

Physiotherapists recommend using the magnetic therapy method. In this case, the body is affected by an alternating or constant magnetic field. Under its influence, the functioning of the circulatory and nervous systems improves.

High-intensity pulsed magnetic therapy on the area of the appendages and uterus increases the activity of hormones and normalizes the functioning of the ovaries.

It also has an anti-inflammatory effect, relieves swelling, promotes venous outflow, thereby reducing the pain experienced by women during the menstrual and ovulatory periods. The use of a magnetic field with drug therapy in men reduces inflammation, including infectious etiology, increases vascular tone and hormone production.

Phototherapy

In the treatment of gynecological diseases leading to infertility, ultraviolet and infrared radiation are used. The mechanism of action of phototherapy is based on the use of light rays of different lengths. Under their influence, the amount of pathogenic microflora in the pathological focus decreases, which is used in the treatment of inflammatory processes of the internal and external genital organs.

Infrared laser therapy improves microcirculation and has an anti-inflammatory effect. In women with chronic inflammation of the genital organs and neuralgia of the pelvic nerves, pain is reduced. In the postoperative period, tissue regeneration is accelerated and the appearance of adhesions is prevented.

In men, laser therapy increases sperm motility and quantity, and the level of sex and gonadotropic hormones. The rays often affect the affected organ or nerve plexuses. Irradiation of the testicles, perineum, transrectal – prostate gland, scrotum is carried out. UV irradiation of the entire blood mass provides a general strengthening effect.

Mud therapy

Couples who cannot get pregnant are recommended to do mud treatments. They can be used either independently or with electrophoresis. Under the influence of the temperature factor, blood flow and metabolism are activated, the synthesis of biological substances is enhanced, and reparative and regenerative processes are improved.

For women, mud applications with electrophoresis, applied to the panty area, restore the menstrual cycle, improve tubal patency, and relieve infertility.

Mud therapy in men reduces swelling, as a result of which dysuric disorders disappear, sperm motility, erectile function and libido improve.

Contraindications to physiotherapeutic methods

Physiotherapy for infertility, including before IVF (in vitro fertilization), is recommended by gynecologists and andrologists. Treatment must be selected individually. It is imperative to consult a doctor to determine the duration and number of procedures. There are a number of general contraindications for prescribing physiotherapy:

Diseases of the cardiovascular system, the presence of an artificial pacemaker.
Severe cachexia (exhaustion).
Blood clotting disorder.
Epilepsy and severe mental illness.
Oncology.
Inflammatory pathologies in the acute stage.
Thyroid diseases.
Pregnancy and lactation.
Individual intolerance to any of the methods.

The use of some methods is possible not only in a medical institution, but also at home. In this case, it is necessary to have special equipment and a preliminary consultation with a physiotherapist to draw up a detailed treatment regimen.

Source: http://phisioterapia.ru/lechenie/fizioterapiya-pri-besplodii/

Hormonal infertility in men

The main male sex hormone, testosterone, is produced in the testicles by Leydig cells. This process can be influenced by various negative factors.

brain disease or injury;
diseases or injuries of the testicles;
disruption of the body's endocrine system;
prolonged emotional stress, stress.

consultation with an andrologist;
blood tests for hormones: testosterone, FSH, LH, prolactin, thyroid hormones.
blood tests to detect infectious and inflammatory processes;
analyzes of smears from the urethra to identify infectious and inflammatory processes;
spermogram;
Magnetic resonance imaging of the brain (to exclude neoplasms).

Testosterone . Low levels of the main male hormone in the blood are one of the common causes of infertility. There are many reasons why testosterone secretion may decrease.

The most common of them are: testicular damage due to an infectious process, injury or surgery, obesity, abnormal development of the genital organs, taking medications, exposure to toxic substances.

Testosterone production can decrease in many diseases: liver cirrhosis, kidney failure, tuberculosis, ulcerative colitis. The secretion of this hormone inevitably decreases with age.

A decrease in the level of testosterone in a man’s blood has a negative impact not only on his reproductive function, but also on his overall health. In addition to infertility, a person may experience:

decreased sex drive;
decrease in muscle mass;
increase in fat mass;
anemia;
depression;
decrease in cognitive functions (memory, attention).

An increase in testosterone levels is rare. This happens when hormone-producing tumors of the testicle, adrenal glands, and pituitary gland appear. Consequences of increasing the concentration of testosterone in the blood:

increased hair growth throughout the body;
hair loss on the head;
the appearance of acne on the face and other parts of the body;
emotional lability, hot temper;
sweating;
increased risk of prostate cancer;
increased risk of hypertension and heart disease.

FSH and LH. These gonadotropic hormones are produced by the pituitary gland. An increase in their level is usually associated with dysfunction of the gonads (testes). The higher the testosterone level, the lower the concentration of FSH and LH in the blood, because their secretion is regulated by a feedback principle.

Elevated levels of LH and FSH usually indicate hypogonadism caused by a primary testicular lesion. A decrease in FSH and LH indicates an excessively high level of testosterone in the blood.

Prolactin . Elevated levels of this hormone are observed in every third man with infertility, although normally it is extremely low. Hyperprolactinemia is one of the possible causes of decreased semen volume and sperm count, infertility, erectile dysfunction, gynecomastia (breast enlargement), painful or retrograde ejaculation.

Thyroid hormones (T3, T4). Produced by the thyroid gland.

An increase in their level most often indicates diffuse toxic goiter, and a decrease is usually caused by an autoimmune inflammatory process in the thyroid gland.

A change in the concentration of thyroid hormones in the blood can lead to subfertility in a man and problems with conception. A decrease in their secretion is one of the possible causes of erectile dysfunction.

Treatment of hormonal infertility:

Treatment depends on the pathology that led to hormonal disorders. Based on the results of the examination, the andrologist selects the optimal treatment.

Most often, with adequate hormonal treatment, testosterone production is normalized and spermatogenesis resumes.

In case of chronic inflammatory processes, anti-inflammatory and restorative therapy is first prescribed. Further, if necessary, correction with hormones is carried out.

Elevated levels of the hormone prolactin indicate the presence of chronic stress, and too much release of this hormone indicates the presence of a benign pituitary tumor.

Treatment is prescribed after one of these causes is identified. In case of stress, consultations with a psychologist and adherence to a work and rest regime will be recommended. If an MRI reveals a tumor of the pituitary gland, then after surgical treatment the production of hormones will improve again.

VitroClinic andrology specialists and endocrinologists have extensive experience in treating hormonal disorders in men and related male infertility. These specialists will jointly diagnose and select the necessary treatment. If conservative methods do not bring results, the use of ART (IVF, ICSI, artificial insemination) may be recommended.

Author of the text: Urologist-andrologist
Alekseev R.A.

Cost of services

All services

Initial consultation with an andrologist	3 200 rub.
Urethral smear (male) (urethral smear, period - 1 days)	320 rub.
Consultation with an endocrinologist	2 500 rub.
FSH (follicle stimulating hormone) (blood (serum), period days - 1)	390 rub.
LH (luteinizing hormone) (blood (serum), period days - 1)	390 rub.
Prolactin (blood (serum), period days - 1)	390 rub.
Total testosterone (blood (serum), period days - 1)	390 rub.

Source: https://www.VitroClinic.ru/lechenie-besplodiya/lechenie-muzhskogo-besplodiya/prichiny-muzhskogo-besplodiya/gormonalnoe-besplodie-u-muzhchin/

Hormones for male infertility

The chemicals produced by the endocrine glands are called hormones. With infertility, both men and women experience an imbalance. To carry out adequate therapy for this condition, it is necessary to conduct a blood test regarding their concentration in order to identify a deficiency or excess of one or another biologically active substance.

Hormones and infertility in men

It is especially important to check male hormones in cases of delayed puberty. This condition can significantly reduce fertility.

An increase in FSH levels often indicates insufficient sperm production, which is why there are not enough sperm in the sperm. To assess their number and activity, a spermogram is performed.

This situation requires replacement therapy, as well as agents that reduce the activity and production of FSH, correcting the functioning of the pituitary gland.

Any significant hormonal imbalance is treated purposefully. Taking into account the three-month sperm development cycle, results can be obtained after this period. Sometimes a state of polyhormonal imbalance occurs when the synthesis of several substances at once is disrupted, which requires taking two or more medications.

The prescription of hormonal drugs is due to a decrease in the number of active sperm and their motility. The technique is called empirical because there is not always a pathological process that needs to be eliminated. It is important to take into account that this approach is quite controversial and requires dynamic monitoring to constantly assess the results of treatment and verify its results.

When does a man need hormonal testing?

Hormonal imbalances are often the cause of endocrine male hormonal infertility. This pathology can be suspected when the sexual partner does not become pregnant within a period of 12-18 months, subject to regular sexual activity without the use of contraception. The presence of health problems for a girl does not exclude the possibility of childlessness in a representative of the stronger sex.

Testosterone

The first stage of a hormonal examination of men is to determine the level of testosterone, which is considered the most important among all sex hormones. It is at his expense that a man’s appearance and behavior are determined. It defines:

hair growth;
voice timbre;
metabolic rate;
bone density;
increase in muscle mass;
the work of sweat and sebaceous glands.

The higher the testosterone level, the higher the likelihood of developing acne, aggressive behavior, and heavy hair growth. With its deficiency, the following are noted:

low prolactin;
apathy;
worsening mood;
low body weight or obesity;
anemic syndrome;
erectile disfunction;
There is a hormonal imbalance testosterone FSH LH prolactin, as a result of which sperm lose their activity.

FSH and LH

Hormone testing also requires determination of follicle-stimulating and luteinizing hormones. They are also present in the female body and are responsible for starting the menstrual cycle, egg maturation, and ovulation.

In men, they are triggers for the production of their own sex hormones and the development of sperm. This occurs in Sertoli and Leydica cells, which are located in the testicles.

The process is controlled by the pituitary gland with the help of FSH and LH.

Read also Malformations of the genital organs and infertility

Features of hormonal drugs for men

Treatment of hormonal infertility involves the use of replacement, suppressive or stimulating therapy.

Substitution of drugs involves replenishing the deficiency of biologically active substances, which is possible due to disruption of their production and leads to sexual dysfunction, underdevelopment of sperm, primary and secondary hypogonadism. The most common treatment is various forms of testosterone.

Suppressive therapy involves prescribing high doses of hormones over several months. This entails inhibition of the production of one’s own hormones, as well as a decrease in sperm production.

After cessation of therapy, the body begins to independently synthesize its biologically active substances, which leads to normalization of hormonal levels.

It is important to note that suppressive therapy is most often used.

Stimulation involves the administration of small doses of biologically active substances in order to improve the course of metabolic processes and metabolism. It does not cause pronounced changes in hormonal levels, but can help for a short period of time.

Estrogen inhibitors

Androgens and estrogens are male and female sex hormones. They're like steroids. Biochemically, they are competitive substances, so if estrogens predominate, patients are advised to use their blockers.

Testosterone drugs

Their most common purpose is related to the stimulation of spermatogenesis. However, it must be taken into account that the opposite result is possible. This is due to the fact that this process occurs under the influence of dehydrotestosterone, which is not contained in medications purchased in the pharmacy chain. Also important is the fact that testosterone regulation occurs on a feedback principle.

Its low concentration causes the pituitary gland to stimulate the testes to begin producing the hormone. A high level engages reverse chaining. Consequently, when receiving endogenous testosterone, the pituitary gland receives information that its own level has risen, which means it is necessary to stop stimulating the testicles.

It is also necessary to take into account that there are strict indications for the use of this hormone. Long-term use almost always leads to a limitation in the production of your own testosterone. Medicines are available in the form of tablets, ampoules, implants, and applicators.

Read also: Elevated prolactin causes infertility

GnRH

This group of substances stimulates the pituitary gland, which, in turn, affects the gonads. Such drugs are prescribed for severe hormonal imbalances.

Prolactin inhibitors

Scientists are still finding it difficult to say what exactly the role of prolactin is in sperm production. But when its level in the blood increases, inhibitors of this hormone are prescribed.

On the other hand, endocrinologists cannot determine the maximum permissible value of a biologically active substance.

Also, according to the recommendations of the endocrinological and andrological communities, before starting treatment for increased blood prolactin concentrations, the cause of this condition should be determined.

How to donate blood for hormones

It is important to take into account that the maximum concentration of these biologically active substances is observed in the morning, and in the evening it decreases. Also, the result changes under the influence of factors such as stress and lack of sleep. Therefore, doctors recommend eliminating them as much as possible to obtain adequate results.

Source: https://childeco.ru/prichiny/gormony-u-muzhchin.html

Physiotherapy for infertility

Rapid scientific progress has led to the widespread use of various physical methods of treatment in medicine. Doctors widely use magnetic, laser, and ultrasound therapy. Women with infertility undergo sessions of hardware massage, electrical neurostimulation, infrared irradiation, etc. Physiotherapeutic procedures are often prescribed for infertility.

Tubal-peritoneal infertility

Physiotherapy cannot cure tuboperitoneal infertility. But it is used to improve the effectiveness of surgery to remove adhesions and recanalize the fallopian tubes.

Tubal-peritoneal infertility is usually treated in one of two ways:

Laparoscopy. During surgery, adhesions are cut. But after that they can form again. A woman should become pregnant as quickly as possible. Otherwise, after 1-2 years, infertility may develop again. Physical therapy is used to reduce the risk of recurrence. Adhesions are formed due to insufficient trophism (nutrition) of tissues in the surgical area. Physiotherapy improves trophism and reduces the risk of adhesions.
ECO. It is used for severe adhesions, when the effectiveness of the surgical operation is initially predicted to be low, or in case of unsuccessful attempts to recanalize the fallopian tubes. Does not require prior physical therapy if the woman has no other factors of infertility besides tubal-peritoneal.

If a woman has had surgery to restore patency of the fallopian tubes, she is prescribed physical therapy in the first days after surgery. Sessions are held daily. The standard course is 10 days. The energy source can be placed in the suprapubic or sacral area. It is also possible to administer the energy source intracavitarily: into the vagina or rectum.

Positive effects of physiotherapy:

inflammation goes away faster;
pain goes away earlier;
less risk of re-formation of adhesions;
ovarian and endometrial function improves, which increases the likelihood of conception after treatment.

Physiotherapy options for women with tubo-peritoneal factor infertility:

laser
EHF-diadynamic therapy;
magnetic therapy;
low-frequency electrostatic field therapy;
ultrasound therapy;
iodine diadynamophoresis.

Physical therapy is not used as the only element of recovery after surgery. These techniques are combined with antibacterial therapy to prevent infectious complications, anti-inflammatory, hormonal treatment, and spa activities.

Physiotherapy for chronic endometritis

Chronic endometritis is a long-term inflammation of the endometrium. It causes infertility because it interferes with the normal growth of the uterine mucosa, leads to the formation of intrauterine synechiae and can cause spontaneous abortions in the early stages of gestation.

Chronic endometritis is often difficult to treat. At the first stage of therapy, it is important to destroy the pathogenic flora that is the causative agent of the disease.

In the future, restoration of the morphofunctional potential of the endometrium is required for pregnancy to occur. It is at the second stage of treatment that physiotherapy is used.

It improves blood flow in the uterus, ensures adequate functioning of the endometrial receptor apparatus, promotes its maturation and normalization of implantation processes.

Physical Therapy Options:

electrical stimulation;
neurostimulation;
magnetic therapy;
laser therapy;
color rhythm therapy.

During treatment, not only the endometrium is affected, but also the myometrium - the muscular layer of the uterus.

As a rule, the goal of therapeutic intervention is to achieve pregnancy. Women with a history of chronic endometritis usually do not suffer from symptoms if they are given antibacterial treatment. But the endometrium grows poorly, its thickness is less than 7 mm, and this significantly reduces the likelihood of conception.

Physiotherapy results:

growth of the endometrium to more than 8 mm at the end of the proliferative phase of the cycle (increases the likelihood of conception by one and a half to two times);
normalization of blood flow, which is confirmed by Doppler measurements;
acquisition of a normal three-layer structure of the endometrium.

How does physiotherapy work:

reduction of inflammatory phenomena;
reduction of swelling;
normalization of blood supply to the endometrium;
restoration of the damaged basal layer.

Physiotherapy from the point of view of evidence-based medicine

There is no evidence that physical therapy is effective for any type of infertility. Therefore, the need for it is not stated either in the Russian orders of the Ministry of Health on the treatment of diseases associated with impaired fertility, or in European or American recommendations.

However, for some gynecological diseases, physiotherapy still has some evidence of effectiveness. Research to evaluate it is being carried out in all countries.

Hundreds of materials have been published in Russian medical publications, which present the results of studies of physiotherapeutic methods for various gynecological pathologies. Including those that lead to infertility. Moreover, in 97% of cases, the authors of such publications distinguish a good effect from physiotherapy.

This does not indicate the extremely high effectiveness of physiotherapy - rather, the customized nature of such studies and the imperfection of the methodology for their conduct.

In countries with well-developed medicine, the situation is the opposite. Most high-quality studies show that physical therapy does not change the course of most diseases or improve their outcomes. But still, some techniques are beneficial, and this has been proven. For example:

for painful menstruation, the effectiveness of local warming physiotherapy and transcutaneous electrical neurostimulation has been demonstrated;
symptoms of premenstrual syndrome significantly decrease with the use of physical exercise;
Electrophoresis of magnesium ions reduces the risk of calf muscle cramps in pregnant women.

For most problems in the field of obstetrics and gynecology, physical therapy only reduces symptoms. So far, there is no convincing evidence of the benefits of any type of physical therapy for infertility.

None of the methods is capable of destroying intrauterine synechiae, restoring the patency of the fallopian tubes, normalizing hormonal levels, eliminating infection or increasing ovarian reserve. In most cases, domestic authors report the effectiveness of physiotherapy in combination with other techniques.

But, most likely, these same “other methods” would have successfully coped with their task even without physical therapy.

Therefore, physical therapy does not cure infertility. In world medicine there is no convincing evidence of the advisability of using physiotherapeutic procedures for diseases that impair fertility. The need for physical therapy for infertility is not specified in the directives and recommendations of medical organizations.

Source: https://www.eko-blog.ru/fizioterapiya-pri-besplodii/

Physiotherapy for male infertility

Medicines and surgery are not the only ways to treat male infertility. Exposure to current, laser, magnets in combination with traditional methods can also help restore male fertility. Physiotherapeutic procedures are prescribed as an additional measure of influence on the body.

The effectiveness of physical therapy in treating male infertility is disputed. But some procedures are used in the treatment of chronic diseases of the genitourinary system and rehabilitation of men. The key advantage of physiotherapy is the minimal stress on the body.

As a rule, physiotherapy increases or decreases muscle tone, dilates blood vessels, and limits inflammation.

Physiotherapy in the treatment of male infertility is contraindicated in cases of acute inflammation, infection, the presence or suspicion of cancer, fever, and severe forms of systemic diseases.

Vacuum massage

One of the most common physiological procedures for male infertility is the method of local negative pressure - LNP therapy. The simpler procedure is called vacuum massage.

With it, the penis is placed in a pressure chamber, from which the air is gradually pumped out. Thanks to the vacuum, blood flows to the genitals, and the penis itself becomes erect. Later the pressure is restored, the procedure is repeated several times.

The method may be indicated for erectile dysfunction in combination with male infertility.

The main effect of LOD therapy is to prevent blood stagnation, improve blood flow in the pelvic organs, genitals and enrich them with oxygen. As a rule, this has a positive effect on the functionality of the testicles and prostate gland.

Vacuum massage is used in the treatment of impotence, chronic prostatitis, vesiculitis, and vascular damage in the groin area. The method cannot be used for severe forms of varicocele, inguinal hernias, or thrombus formation.

Laser therapy

In medicine, a low-intensity laser is used that does not destroy body tissue. Radiation in the red range penetrates to a depth of up to 2 mm, in the infrared - up to 8 cm.

The main effects of laser therapy are stimulating the immune system, accelerating metabolism, relieving inflammation and pain due to them, and normalizing the level of antioxidant enzymes. According to some studies, laser therapy increases the production of the male sex hormone in the testicles - testosterone, which affects sperm motility.

Contrary to popular belief, laser radiation does not increase the risk of developing cancer and systemic diseases.

Magnetotherapy

Magnetic therapy is most often prescribed in combination with laser therapy. Unlike many other countries, in Russia magnetic therapy methods are recognized as therapeutic. Electromagnetic fields are widely used in diagnostics, but their therapeutic effect on the body has not been proven.

It is believed that wearing magnets normalizes vascular function and hormone production, and also has hypotensive and antitumor effects. There are special catheters on the market that have a more precise effect.

Electrical stimulation

Electrical stimulation uses pulsed currents. They force muscles to contract, thereby preventing tissue atrophy.

Using electrophoresis, active substances enter the body under the influence of current. For example, for inflammation of the testicles and appendages, electrophoresis is prescribed using enzyme and decongestant drugs. This method of delivering substances allows you to reduce the dose while maintaining the concentration in the problem area, reducing side effects.

Neoplasms, severe inflammation, and violation of skin integrity are contraindications for electrical stimulation.

Other methods of physical therapy for male infertility include the introduction of ozone, healing mud, and transurethral microwave therapy. All methods are combined with each other. The effectiveness of some physiological procedures has not been proven. You should consult your doctor.

Source: http://xn--90agcboqvgr.net/article/fizioterapiya-pri-muzhskom-besplodii/