Мужское бесплодие: причины и лечение Мужское бесплодие

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color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; color: #ffffff !important; } </style> </div> </div> </div> <div class="grid__item one-whole"> <div class="product-summary--wide"> <div class="dd-article-summary rte"> <p>Ведущий эксперт в области репродуктивной эндокринологии и бесплодия, доктор медицинских наук Хизер Хаддлстон, отмечает, что мужской фактор составляет 30–40% всех случаев бесплодия в парах. Хотя точная причина часто остаётся неизвестной, иногда выявляются такие состояния, как варикоцеле или генетические синдромы. Лечение мужского бесплодия высокоэффективно благодаря вспомогательным репродуктивным технологиям, таким как внутриматочная инсеминация (ВМИ), экстракорпоральное оплодотворение (ЭКО) и интрацитоплазматическая инъекция сперматозоида (ИКСИ). Эти методы позволяют достичь зачатия даже при крайне низком количестве или подвижности сперматозоидов.</p> </div> </div> </div></div> </div> </section> <script type="application/ld+json"> {"@context":"http:\/\/schema.org\/","@id":"\/products\/male-infertility-causes-and-treatment-8#product","@type":"Product","brand":{"@type":"Brand","name":"Diagnostic Detectives Network"},"category":"","description":"Мужское бесплодие: причины, диагностика и современные методы лечения\nПерейти к разделу\n\nРаспространенность и роль в бесплодии пары\nРаспространенные причины мужского бесплодия\nДиагностические сложности и неизвестные причины\nИзлечимость и показатели успеха\nЭКО и ИКСИ при мужском факторе бесплодия\nТребования к сперме для успешного лечения\nПолучение второго медицинского мнения\n\nРаспространенность и роль в бесплодии пары\nМужское бесплодие — важный фактор, препятствующий зачатию. Как поясняет доктор Хизер Хаддлстон, MD, мужские факторы играют роль в 30–40% всех случаев бесплодия. Это подчеркивает необходимость обследования обоих партнеров при проблемах с фертильностью. Доктор Антон Титов, MD, добавляет, что трудности с зачатием часто становятся единственным признаком, поскольку явные симптомы обычно отсутствуют.\nРаспространенные причины мужского бесплодия\nХотя многие случаи остаются необъяснимыми, некоторые причины можно выявить. Частая анатомическая причина — варикоцеле, расширение вен мошонки, которое ухудшает выработку и качество спермы. Генетические факторы также значимы: синдром Клайнфельтера (лишняя X-хромосома) и микроделеции Y-хромосомы напрямую влияют на сперматогенез. Диагностика обычно начинается со спермограммы для оценки количества, подвижности и формы сперматозоидов.\nДиагностические сложности и неизвестные причины\nДоктор Хизер Хаддлстон, MD, отмечает, что в большинстве случаев точную причину мужского бесплодия установить не удается, что frustрует пациентов. Считается, что эти идиопатические случаи многофакторны и могут включать генетическую предрасположенность и влияние среды. Однако, как подчеркивает доктор Антон Титов, MD, отсутствие известной причины не исключает успешного лечения.\nИзлечимость и показатели успеха\nКлючевой момент, по словам доктора Хизер Хаддлстон, MD, — мужское бесплодие часто хорошо поддается лечению. С ним обычно проще справиться, чем с проблемами женской фертильности, связанными с яйцеклетками. Высокая эффективность достигается благодаря вспомогательным репродуктивным технологиям. Главная цель — обеспечить зачатие с имеющейся спермой, и успех вероятен, если есть хотя бы некоторые живые сперматозоиды.\nЭКО и ИКСИ при мужском факторе бесплодия\nЭкстракорпоральное оплодотворение (ЭКО) — мощный метод преодоления мужского бесплодия, особенно при низком количестве или подвижности сперматозоидов. Наиболее современный подход — интрацитоплазматическая инъекция сперматозоида (ИКСИ). Как объясняет доктор Хизер Хаддлстон, MD, эмбриолог отбирает один сперматозоид и вводит его прямо в яйцеклетку, минуя необходимость в ее естественном оплодотворении. Это позволяет использовать даже неподвижные, но жизнеспособные сперматозоиды.\nТребования к сперме для успешного лечения\nДля методов like ЭКО с ИКСИ требования к сперме минимальны. Доктор Хизер Хаддлстон, MD, уточняет: даже в тяжелых случаях в эякуляте обычно есть сотни тысяч живых сперматозоидов. Для стандартного цикла ЭКО, при котором получают около десяти яйцеклеток, нужно всего десять жизнеспособных сперматозоидов — по одному на каждую. Таким образом, количество редко становится непреодолимым препятствием для биологического родительства.\nПолучение второго медицинского мнения\nУчитывая сложность диагностики и разнообразие методов лечения, разумно seek второе мнение. Оно помогает подтвердить диагноз, оценить предложенный план и убедиться, что рассмотрены все варианты — от внутриматочной инсеминации до ЭКО с ИКСИ. Как отмечает доктор Антон Титов, MD, это придает уверенность в выборе оптимального пути лечения для конкретной ситуации.\nПолная расшифровка\nДоктор Антон Титов, MD: Мужское бесплодие вносит вклад во многие случаи бесплодия пар. Каковы распространенные причины? Как его успешно лечить? Что такое интрацитоплазматическая инъекция сперматозоида (ИКСИ)?\nЛечение мужского бесплодия включает ЭКО и ИКСИ и обычно успешно при наличии живых сперматозоидов.\nПричины могут быть связаны с варикоцеле и воспалением. Симптомы часто минимальны; трудности с зачатием — единственный признак. Низкие показатели спермограммы указывают на проблему, though количество при эякуляции обычно выше.\nДиагностика включает спермограмму. Лечение — ЭКО, ИКСИ, инсеминация.\nВторое мнение подтверждает диагноз и необходимость лечения, помогает выбрать лучший вариант.\nПолучите второе мнение по мужскому бесплодию для уверенности в лечении.\nДоктор Антон Титов, MD: Насколько распространено мужское бесплодие? Основные причины? Что важно в диагностике? Варианты лечения?\nДоктор Хизер Хаддлстон, MD: Мужское бесплодие встречается часто. Мужские факторы involved в 30–40% случаев. Часто причину установить не можем. Иногда выявляем варикоцеле или генетические факторы like синдром Клайнфельтера или делеции. Но обычно причина неизвестна, вероятно, наследственная и многофакторная. Хорошая новость: мужское бесплодие хорошо лечится, проще, чем проблемы с яйцеклетками. Используем инсеминацию или ЭКО.\nДоктор Антон Титов, MD: Поможет ли ЭКО при мужском бесплодии, например, при низком количестве или подвижности сперматозоидов?\nДоктор Хизер Хаддлстон, MD: Да. ЭКО эффективно even без подвижных сперматозоидов. С ИКСИ мы вводим сперматозоид в яйцеклетку, его функция не важна. Даже при низком количестве в эякуляте обычно hundreds тысяч живых сперматозоидов. Для ЭКО нужно лишь по одному на яйцеклетку; в цикле их около десяти, so даже в тяжелых случаях хватает.\nПричины и лечение мужского бесплодия. Варикоцеле — одна из причин. Большинство причин неизвестны, но лечение эффективно.","image":"https:\/\/diagnosticdetectives.ru\/cdn\/shop\/products\/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398\u0026width=1920","name":"Мужское бесплодие: причины и лечение\n\nМужское бесплодие","offers":{"@id":"\/products\/male-infertility-causes-and-treatment-8?variant=41852086354076#offer","@type":"Offer","availability":"http:\/\/schema.org\/InStock","price":"0.00","priceCurrency":"RUB","url":"https:\/\/diagnosticdetectives.ru\/products\/male-infertility-causes-and-treatment-8?variant=41852086354076"},"url":"https:\/\/diagnosticdetectives.ru\/products\/male-infertility-causes-and-treatment-8"} </script> </div><section id="shopify-section-template--18622507942044__product_expert_masterclass_teaser_GQjD4Q" class="shopify-section index-section"> <section class="section section--tight" data-section-id="template--18622507942044__product_expert_masterclass_teaser_GQjD4Q"> <div class="page-width"><div class="emc"> <a href="/pages/expert-masterclass/dr-heather-huddleston" class="emc__media" style="--emc-max-w: 960px; 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} if(document.readyState === 'loading') document.addEventListener('DOMContentLoaded', start); else start(); document.addEventListener('shopify:section:load', function(e){ if(e && e.detail && e.detail.sectionId === 'template--18622507942044__product_expert_masterclass_teaser_GQjD4Q'){ start(); } }); })(); </script> </section></section><div id="shopify-section-template--18622507942044__more-products-collection" class="shopify-section"> <div data-subsection data-section-id="template--18622507942044__more-products-collection" data-section-type="collection-template" > <div class="index-section index-section--sub-product"> <div class="page-width"> <header class="section-header"> <div class="h3 section-header__title"> More from <a href="/collections/prostate-cancer">Рак простаты</a> </div> </header> </div> <div class="page-width page-width--flush-small"> <div class="new-grid product-grid scrollable-grid--small" data-view="medium" > <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="urinalysis-nephrologist-should-examine-sediment-under-the-microscope" data-product-id="7529408463004" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7529408463004 small--hide" title=" Quick shop " data-handle="urinalysis-nephrologist-should-examine-sediment-under-the-microscope"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/prostate-cancer/products/urinalysis-nephrologist-should-examine-sediment-under-the-microscope" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/c71ee66d24024024a4a0e95aa9c43277.thumbnail.0000000000.jpg?v=1672838321&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">Анализ мочи: нефрологу необходимо исследовать осадок под микроскопом.</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="male-infertility-causes-and-treatment-8" data-product-id="7374928871580" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374928871580 small--hide" title=" Quick shop " data-handle="male-infertility-causes-and-treatment-8"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/prostate-cancer/products/male-infertility-causes-and-treatment-8" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">Мужское бесплодие: причины и лечение Мужское бесплодие</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="lower-urinary-tract-symptoms-in-men-how-to-diagnose-and-treat-them-correctly-luts-14" data-product-id="7374926872732" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374926872732 small--hide" title=" Quick shop " data-handle="lower-urinary-tract-symptoms-in-men-how-to-diagnose-and-treat-them-correctly-luts-14"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/prostate-cancer/products/lower-urinary-tract-symptoms-in-men-how-to-diagnose-and-treat-them-correctly-luts-14" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Prostate-cancer-diagnosis-treatment-minimally-invasive_Dr_Mark_Emberton_Medical_Second_Opinion_Diagnostic_Detectives_Network.016.jpg?v=1660896257&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title"><!DOCTYPE html> <html lang="ru"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Симптомы нижних</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> </div> </div> </div> </div> </div><div id="shopify-section-template--18622507942044__more-products-vendor" class="shopify-section"> <is-land on:visible> <vendor-products data-subsection data-section-id="template--18622507942044__more-products-vendor" data-section-type="vendor-products" data-product-id="7374928871580" data-vendor-url="/collections/vendors?q=Diagnostic%20Detectives%20Network" data-max-products="3" > <div class="index-section index-section--sub-product"> <div class="page-width"> <header class="section-header"> <div class="h3 section-header__title"> More from <a href="/collections/vendors?q=Diagnostic%20Detectives%20Network" title="Diagnostic Detectives Network">Diagnostic Detectives Network</a> </div> </header> </div> <div class="page-width page-width--flush-small"> <div id="VendorProducts-template--18622507942044__more-products-vendor" class="new-grid product-grid scrollable-grid--small" data-view="medium" > <div class="visually-invisible"> <div class=" grid-item grid-product grid-product-image-breathing-room--true " > <div class="product-grid-item" data-product-handle="male-infertility-causes-and-treatment-8" data-product-id="7374928871580" data-product-grid-item > <div class="grid-item__content"><div class="grid-product__actions"> <is-land on:idle> <quick-shop defer-hydration> <tool-tip-trigger class="tool-tip-trigger" data-tool-tip="QuickShop" data-tool-tip-classes="quick-shop-modal" defer-hydration > <span class="tool-tip-trigger__content" data-tool-tip-trigger-content="" > </span> <button type="button" class="btn btn--circle btn--icon quick-product__btn js-modal-open-quick-modal-7374928871580 small--hide" title=" Quick shop " data-handle="male-infertility-causes-and-treatment-8"> <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon-search icon--line" viewbox="0 0 64 64" width="20" height="20" > <path d="M47.16 28.58A18.58 18.58 0 1 1 28.58 10a18.58 18.58 0 0 1 18.58 18.58M54 54 41.94 42" stroke-miterlimit="10" fill="none" stroke="currentColor" /> </svg> <span class="icon__fallback-text visually-hidden"> Quick shop </span> </button> </tool-tip-trigger> <script type="module"> import 'components/tool-tip-trigger' </script> </quick-shop> <template data-island> <script type="module"> import 'components/quick-shop' </script> </template> </is-land> </div><a href="/collections/prostate-cancer/products/male-infertility-causes-and-treatment-8" class="grid-item__link"> <div class="grid-product__image-wrap"> <div class="grid-product__tags"></div><div style="height: 0; padding-bottom: 56.25%;" > <is-land on:visible data-image-type=""><img src="//diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=1080" alt="" srcset="//diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Infertility-PCOS-Male-Female-Unexplained-Second-Opinion-Dr-Heather-Huddleston_Diagnostic_Detectives_Network.009.jpg?v=1660916398&width=1080 1080w" width="1080" height="607.5" loading="lazy" class="grid-product__image image-element" sizes="30vw" data-animate="fadein"> </is-land> </div></div> <div class="grid-item__meta"> <div class="grid-item__meta-main"><div class="grid-product__title">Мужское бесплодие: причины и лечение Мужское бесплодие</div></div> <div class="grid-item__meta-secondary"> <div class="grid-product__price"><span class="grid-product__price--current"> <span aria-hidden="true">руб0,00</span> <span class="visually-hidden">руб0,00</span> </span></div> </div></div> </a></div> </div> </div> </div> </div> </div> </div> </vendor-products> <template data-island> <script type="module"> import 'components/section-more-products-vendor' </script> </template> </is-land> </div><div id="shopify-section-template--18622507942044__collection-return" class="shopify-section"> <div class="return-section color-scheme-none"><div class="page-width text-center"> <a href="/collections/prostate-cancer" class="btn return-link" > <svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" role="presentation" class="icon icon--wide icon-arrow-left" viewbox="0 0 50 15" fill="currentColor" width="20" height="20" > <path d="M50 5.38v4.25H15V15L0 7.5 15 0v5.38Z" /> </svg> Back to Рак простаты </a> </div> </div> </div><div id="shopify-section-template--18622507942044__featured_product_LHGeFD" class="shopify-section index-section"> <section class="page-content page-content--product page-content--partial" data-section-id="template--18622507942044__featured_product_LHGeFD" data-product-id="7374955085980" > <div class="page-width"> <div class="product-grid__container product--images float-grid grid--product-images--partial clearfix"><div class="grid__item medium-up--one-half product-single__sticky"> <product-images data-product-images data-zoom="false" data-has-slideshow="false" data-media-gallery-layout="" data-modal="false" data-product-id="7374955085980" data-section-id="template--18622507942044__featured_product_LHGeFD" > <div class="product__photos product__photos-template--18622507942044__featured_product_LHGeFD product__photos--beside"> <div class="product__main-photos" data-product-single-media-group> <div data-product-photos data-zoom="false" class="product-slideshow" id="ProductPhotos-template--18622507942044__featured_product_LHGeFD" > <div class="product-main-slide starting-slide" data-index="0" data-media-id="26893580828828" > <div data-product-image-main class="product-image-main" ><div class="image-wrap hide" style="height: 0; padding-bottom: 41.666666666666664%;" > <is-land on:visible data-image-type="photoswipe"> <img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1080" alt="Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю." srcset="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1080 1080w" width="1080" height="450.0" loading="eager" class=" image-element" data-photoswipe-src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002.jpg?v=1666367638&width=1800" data-photoswipe-width="1920" data-photoswipe-height="800" data-index="1" sizes=" (min-width: 769px) 50vw, 75vw" data-animate="none"> </is-land> </div><div class="product__video-wrapper"> <is-land on:idle> <div class="video-media aspect-ratio--16-9" data-background="false" ><video-media defer-hydration > <video playsinline="true" controls="controls" preload="metadata" aria-label="Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю." poster="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002_500x.jpg?v=1666367638"><source src="//diagnosticdetectives.ru/cdn/shop/videos/c/vp/a22b0d50e4c64d9c8b0a558888197f4a/a22b0d50e4c64d9c8b0a558888197f4a.HD-720p-4.5Mbps-8813343.mp4?v=0" type="video/mp4"><img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhDcopy.002_500x.jpg?v=1666367638"></video> </video-media></div> <template data-island> <script type="module"> import 'components/video-media' </script> </template> </is-land> </div></div> </div> </div></div> <div data-product-thumbs class="product__thumbs product__thumbs--beside product__thumbs-placement--left medium-up--hide small--hide" data-position="beside" data-arrows="false" ><div class="product__thumbs--scroller"></div></div> </div> <script type="application/json" data-current-variant-json>{"id":41852130001052,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"","requires_shipping":false,"taxable":false,"featured_image":null,"available":true,"name":"Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю.","public_title":null,"options":["Default Title"],"price":0,"weight":0,"compare_at_price":null,"inventory_management":null,"barcode":"","requires_selling_plan":false,"selling_plan_allocations":[]}</script> <script type="application/json" data-product-options-json>["Title"]</script> </product-images> <script type="module"> import 'components/product-images' </script> <script type="application/json" id="ModelJson-template--18622507942044__featured_product_LHGeFD"> [] </script><div class="localized-video-iframe-container" style="margin-top: 1.5rem;"> <div id="language-selector-wrapper"> <label for="language-selector">🎧 Select dubbed video language:</label> <select id="language-selector"> <option value="">Choose dubbed language</option> <option value="de" >Deutsch</option> <option value="fr" >Français</option> <option value="ru" selected>Русский</option> <option value="it" >Italiano</option> <option value="es" >Español</option> <option value="pt" >Português</option> <option value="ar" >العربية</option> <option value="zh" >中文</option> <option value="ja" >日本語</option> <option value="ko" >한국어</option> </select> </div> <iframe id="localized-video-iframe" src="https://player.vimeo.com/video/1113043591?autoplay=0&title=0&byline=0&portrait=0" data-selected-lang="ru" frameborder="0" allow="autoplay; fullscreen" allowfullscreen loading="lazy" style="width:100%; aspect-ratio:16/9; margin-top: 0.5rem;"> </iframe> </div></div><div class="product-grid__content product--description product-single__sticky grid__item medium-up--one-half"> <div class="product-single__meta"> <div class="product-block" data-section-id="template--18622507942044__featured_product_LHGeFD" > <h1 class="h2 product-single__title">Уточните план лечения, проконсультировавшись с ведущими специалистами, которые полностью соответствуют вашему клиническому случаю.</h1></div> <div class="product-block" > <a class="custom-white-button" href="/pages/how-it-works" target="_self" rel="noopener noreferrer"> Can we help? </a> <style> .custom-white-button { background-color: transparent !important; color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; 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color: #ffffff !important; border: 2px solid #ffffff !important; font-size: 18px !important; padding: 10px 20px !important; text-align: center !important; display: inline-block !important; text-decoration: none !important; } .custom-white-button:hover { background-color: #ff0000 !important; color: #ffffff !important; } </style> </div> </div> </div><div class="grid__item medium-up--one-half product-single__sticky"> <product-images data-product-images data-zoom="false" data-has-slideshow="false" data-media-gallery-layout="" data-modal="false" data-product-id="7374955151516" data-section-id="template--18622507942044__featured_product_ik9hhY" > <div class="product__photos product__photos-template--18622507942044__featured_product_ik9hhY product__photos--beside"> <div class="product__main-photos" data-product-single-media-group> <div data-product-photos data-zoom="false" class="product-slideshow" id="ProductPhotos-template--18622507942044__featured_product_ik9hhY" > <div class="product-main-slide starting-slide" data-index="0" data-media-id="26893628440732" > <div data-product-image-main class="product-image-main" ><div class="image-wrap hide" style="height: 0; padding-bottom: 41.666666666666664%;" > <is-land on:visible data-image-type="photoswipe"> <img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1080" alt="Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения." srcset="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=360 360w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=540 540w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=720 720w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=900 900w, //diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1080 1080w" width="1080" height="450.0" loading="eager" class=" image-element" data-photoswipe-src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1.jpg?v=1660755068&width=1800" data-photoswipe-width="1920" data-photoswipe-height="800" data-index="1" sizes=" (min-width: 769px) 50vw, 75vw" data-animate="none"> </is-land> </div><div class="product__video-wrapper"> <is-land on:idle> <div class="video-media aspect-ratio--16-9" data-background="false" ><video-media defer-hydration > <video playsinline="true" controls="controls" preload="metadata" aria-label="Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения." poster="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1_500x.jpg?v=1660755068"><source src="//diagnosticdetectives.ru/cdn/shop/videos/c/vp/2784406d62054c4da459927e30451d40/2784406d62054c4da459927e30451d40.HD-720p-4.5Mbps-8813682.mp4?v=0" type="video/mp4"><img src="//diagnosticdetectives.ru/cdn/shop/products/Experts_Diagnostic_Detectives_Network_MD_PhD_2.002_3c4586c3-94b5-47b0-a751-2a382ef567a1_500x.jpg?v=1660755068"></video> </video-media></div> <template data-island> <script type="module"> import 'components/video-media' </script> </template> </is-land> </div></div> </div> </div></div> <div data-product-thumbs class="product__thumbs product__thumbs--beside product__thumbs-placement--right medium-up--hide small--hide" data-position="beside" data-arrows="false" ><div class="product__thumbs--scroller"></div></div> </div> <script type="application/json" data-current-variant-json>{"id":41852130066588,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"","requires_shipping":false,"taxable":false,"featured_image":null,"available":true,"name":"Подбор идеальных хирургов или медицинских специалистов для проведения вашего лечения.","public_title":null,"options":["Default Title"],"price":0,"weight":0,"compare_at_price":null,"inventory_management":null,"barcode":"","requires_selling_plan":false,"selling_plan_allocations":[]}</script> <script type="application/json" data-product-options-json>["Title"]</script> </product-images> <script type="module"> import 'components/product-images' </script> <script type="application/json" id="ModelJson-template--18622507942044__featured_product_ik9hhY"> [] </script></div></div> </div> </section> <script> document.addEventListener("DOMContentLoaded", function () { const selector = document.getElementById("language-selector"); const iframe = document.getElementById("localized-video-iframe"); if (!selector || !iframe) return; // 🧠 Detect the language used in video (via data attribute from Liquid) const loadedLang = iframe.getAttribute("data-selected-lang"); if (loadedLang) { selector.value = loadedLang; } // 🧠 On dropdown change, switch video selector.addEventListener("change", function () { const lang = selector.value; if (!lang) return; const metafieldUrl = {}; const urlKey = "vimeo_url_" + lang; const newUrl = metafieldUrl[urlKey]; if (newUrl) { iframe.src = newUrl + "?autoplay=0&title=0&byline=0&portrait=0"; } }); }); </script> </div><div id="shopify-section-template--18622507942044__sub" class="shopify-section product-full-width"> <div class="page-width page-width--narrow"> <div class="product-block" > <at-rte class="at-rte rte clearfix"> <h1>Мужское бесплодие: причины, диагностика и современные методы лечения</h1> <h3>Перейти к разделу</h3> <ul> <li><a href="#prevalence-and-role">Распространенность и роль в бесплодии пары</a></li> <li><a href="#common-causes">Распространенные причины мужского бесплодия</a></li> <li><a href="#diagnostic-challenges">Диагностические сложности и неизвестные причины</a></li> <li><a href="#treatability-and-success">Излечимость и показатели успеха</a></li> <li><a href="#ivf-and-icsi">ЭКО и ИКСИ при мужском факторе бесплодия</a></li> <li><a href="#sperm-requirements">Требования к сперме для успешного лечения</a></li> <li><a href="#seeking-a-second-opinion">Получение второго медицинского мнения</a></li> </ul> <h2 id="prevalence-and-role">Распространенность и роль в бесплодии пары</h2> <p>Мужское бесплодие — важный фактор, препятствующий зачатию. Как поясняет доктор Хизер Хаддлстон, MD, мужские факторы играют роль в 30–40% всех случаев бесплодия. Это подчеркивает необходимость обследования обоих партнеров при проблемах с фертильностью. Доктор Антон Титов, MD, добавляет, что трудности с зачатием часто становятся единственным признаком, поскольку явные симптомы обычно отсутствуют.</p> <h2 id="common-causes">Распространенные причины мужского бесплодия</h2> <p>Хотя многие случаи остаются необъяснимыми, некоторые причины можно выявить. Частая анатомическая причина — варикоцеле, расширение вен мошонки, которое ухудшает выработку и качество спермы. Генетические факторы также значимы: синдром Клайнфельтера (лишняя X-хромосома) и микроделеции Y-хромосомы напрямую влияют на сперматогенез. Диагностика обычно начинается со спермограммы для оценки количества, подвижности и формы сперматозоидов.</p> <h2 id="diagnostic-challenges">Диагностические сложности и неизвестные причины</h2> <p>Доктор Хизер Хаддлстон, MD, отмечает, что в большинстве случаев точную причину мужского бесплодия установить не удается, что frustрует пациентов. Считается, что эти идиопатические случаи многофакторны и могут включать генетическую предрасположенность и влияние среды. Однако, как подчеркивает доктор Антон Титов, MD, отсутствие известной причины не исключает успешного лечения.</p> <h2 id="treatability-and-success">Излечимость и показатели успеха</h2> <p>Ключевой момент, по словам доктора Хизер Хаддлстон, MD, — мужское бесплодие часто хорошо поддается лечению. С ним обычно проще справиться, чем с проблемами женской фертильности, связанными с яйцеклетками. Высокая эффективность достигается благодаря вспомогательным репродуктивным технологиям. Главная цель — обеспечить зачатие с имеющейся спермой, и успех вероятен, если есть хотя бы некоторые живые сперматозоиды.</p> <h2 id="ivf-and-icsi">ЭКО и ИКСИ при мужском факторе бесплодия</h2> <p>Экстракорпоральное оплодотворение (ЭКО) — мощный метод преодоления мужского бесплодия, особенно при низком количестве или подвижности сперматозоидов. Наиболее современный подход — интрацитоплазматическая инъекция сперматозоида (ИКСИ). Как объясняет доктор Хизер Хаддлстон, MD, эмбриолог отбирает один сперматозоид и вводит его прямо в яйцеклетку, минуя необходимость в ее естественном оплодотворении. Это позволяет использовать даже неподвижные, но жизнеспособные сперматозоиды.</p> <h2 id="sperm-requirements">Требования к сперме для успешного лечения</h2> <p>Для методов like ЭКО с ИКСИ требования к сперме минимальны. Доктор Хизер Хаддлстон, MD, уточняет: даже в тяжелых случаях в эякуляте обычно есть сотни тысяч живых сперматозоидов. Для стандартного цикла ЭКО, при котором получают около десяти яйцеклеток, нужно всего десять жизнеспособных сперматозоидов — по одному на каждую. Таким образом, количество редко становится непреодолимым препятствием для биологического родительства.</p> <h2 id="seeking-a-second-opinion">Получение второго медицинского мнения</h2> <p>Учитывая сложность диагностики и разнообразие методов лечения, разумно seek второе мнение. Оно помогает подтвердить диагноз, оценить предложенный план и убедиться, что рассмотрены все варианты — от внутриматочной инсеминации до ЭКО с ИКСИ. Как отмечает доктор Антон Титов, MD, это придает уверенность в выборе оптимального пути лечения для конкретной ситуации.</p> <h2 id="full-transcript">Полная расшифровка</h2> <p><strong>Доктор Антон Титов, MD:</strong> Мужское бесплодие вносит вклад во многие случаи бесплодия пар. Каковы распространенные причины? Как его успешно лечить? Что такое интрацитоплазматическая инъекция сперматозоида (ИКСИ)?</p> <p>Лечение мужского бесплодия включает ЭКО и ИКСИ и обычно успешно при наличии живых сперматозоидов.</p> <p>Причины могут быть связаны с варикоцеле и воспалением. Симптомы часто минимальны; трудности с зачатием — единственный признак. Низкие показатели спермограммы указывают на проблему, though количество при эякуляции обычно выше.</p> <p>Диагностика включает спермограмму. Лечение — ЭКО, ИКСИ, инсеминация.</p> <p>Второе мнение подтверждает диагноз и необходимость лечения, помогает выбрать лучший вариант.</p> <p>Получите второе мнение по мужскому бесплодию для уверенности в лечении.</p> <p><strong>Доктор Антон Титов, MD:</strong> Насколько распространено мужское бесплодие? Основные причины? Что важно в диагностике? Варианты лечения?</p> <p><strong>Доктор Хизер Хаддлстон, MD:</strong> Мужское бесплодие встречается часто. Мужские факторы involved в 30–40% случаев. Часто причину установить не можем. Иногда выявляем варикоцеле или генетические факторы like синдром Клайнфельтера или делеции. Но обычно причина неизвестна, вероятно, наследственная и многофакторная. Хорошая новость: мужское бесплодие хорошо лечится, проще, чем проблемы с яйцеклетками. Используем инсеминацию или ЭКО.</p> <p><strong>Доктор Антон Титов, MD:</strong> Поможет ли ЭКО при мужском бесплодии, например, при низком количестве или подвижности сперматозоидов?</p> <p><strong>Доктор Хизер Хаддлстон, MD:</strong> Да. ЭКО эффективно even без подвижных сперматозоидов. С ИКСИ мы вводим сперматозоид в яйцеклетку, его функция не важна. Даже при низком количестве в эякуляте обычно hundreds тысяч живых сперматозоидов. Для ЭКО нужно лишь по одному на яйцеклетку; в цикле их около десяти, so даже в тяжелых случаях хватает.</p> <p>Причины и лечение мужского бесплодия. Варикоцеле — одна из причин. 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