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Это не отдельное заболевание, а лишь состояние, которое означает, что в данный момент зачатие невозможно или маловероятно [4](https://www.cpsmed.ru/company/articles/muzhskoe-besplodie-prichiny-simptomy-i-lechenie-zabolevaniya/). \n\nВыделяют разные виды мужского бесплодия, например: \n* **Секреторное** — нарушение функции яичек — снижение или полное отсутствие выработки сперматозоидов [1](https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/). \n* **Экскреторное** — нарушение проходимости семявыводящих путей, даже при сохранённой способности яичек к выработке сперматозоидов сперма не может нормально выводиться из организма [1](https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/). \n* **Иммунологическое** — иммунная система воспринимает сперматозоиды как потенциальную угрозу, вырабатывает антитела, из-за чего нарушается нормальная функция сперматозоидов — они теряют подвижность и не могут участвовать в процессе оплодотворения [1](https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/).\n\n## Причины\nНекоторые причины мужского бесплодия: \n* **Генетические аномалии** (синдром Клайнфельтера) [1](https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/). \n* **Гормональные нарушения** (дисбаланс половых гормонов) [2](https://Megapteka.ru/specials/besplodie-u-muzhchin-6346). \n* **Воспалительные и инфекционные процессы** (заболевания, передающиеся половым путём) [2](https://Megapteka.ru/specials/besplodie-u-muzhchin-6346). \n* **Врождённые аномалии** (например, крипторхизм) [2](https://Megapteka.ru/specials/besplodie-u-muzhchin-6346)[7](https://fnkc-fmba.ru/zabolevaniya/muzhskoe-besplodie/). \n* **Приём лекарственных препаратов** (заместительная терапия тестостероном, длительное использование анаболических стероидов) [6](https://ProBolezny.ru/muzhskoe-besplodie/). \n* **Перенесённые операции** (например, вазэктомия, операции по поводу паховой грыжи) [6](https://ProBolezny.ru/muzhskoe-besplodie/). \n\nВ некоторых случаях причины бесплодия остаются невыясненными — такое бесплодие называют идиопатическим [2](https://Megapteka.ru/specials/besplodie-u-muzhchin-6346).\n\n## Симптомы\nВ большинстве случаев мужское бесплодие протекает бессимптомно и обнаруживается только при безуспешных попытках зачатия [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya). Однако при наличии сопутствующих заболеваний или патологий репродуктивной системы могут наблюдаться определённые клинические проявления [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya). Например: \n* изменения в характеристиках эякулята (уменьшение объёма спермы, изменение консистенции, изменение цвета) [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya); \n* проблемы с эрекцией и эякуляцией (снижение либидо, эректильная дисфункция) [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya); \n* боль, дискомфорт или отёчность в области яичек [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya).\n\n## Диагностика\nДля диагностики мужского бесплодия необходимо комплексное обследование, включающее лабораторные и инструментальные методы [9](https://df.clinic/services/reproduktorogiya-vrt/diagnostika-i-lechenie-besplodiya/lechenie-muzhskogo-besplodiya). Некоторые исследования: \n* **Спермограмма** — оценка количества, формы и активности сперматозоидов [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/). \n* **Исследование гормонального профиля** [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/). \n* **Иммунологическое обследование** — анализ наличия антител к сперматозоидам (необходим для диагностики аутоиммунного типа бесплодия) [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/). \n* **Ультразвуковое исследование яичек и предстательной железы** — позволяет оценить структуру органа, размеры, наличие патологических образований [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/).\n\n## Лечение\nВыбор тактики зависит от причины мужского бесплодия [15](https://www.gkb-31.ru/articles/lechenie-besplodiya-u-muzhchin/). Некоторые варианты лечения: \n* **Медикаментозная терапия** — рекомендована при инфекционных процессах, гормональных причинах бесплодия, аутоиммунном механизме болезни [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/). \n* **Хирургическое лечение** — применяется для устранения пороков развития мочеполовой сферы и варикоцеле [12](https://www.mechnikoff.ru/novosti-i-stati/muzhskoe-besplodie-prichiny-simptomy-i-lechenie/). \n* **Вспомогательные репродуктивные технологии** — используются при неэффективности других методов лечения, например, ЭКО, внутриматочная инсеминация, интрацитоплазматическая инъекция сперматозоидов (ИКСИ) [15](https://www.gkb-31.ru/articles/lechenie-besplodiya-u-muzhchin/). \n\nЛечением бесплодия у мужчин занимается уролог или андролог [3](https://gemotest.ru/info/spravochnik/zabolevaniya/besplodie-u-muzhchin/).","linksData":[{"sourceId":1,"url":"https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/","shownUrl":"https://www.fgu-obp.ru/diseases/muzhskoe-besplodie/","title":"Мужское бесплодие — признаки, причины, диагностика и лечение в Москве - консультация андролога | ФГБУ «ОБП»","shortUrl":"fgu-obp.ru","isTranslated":false,"description":"","greenUrl":"fgu-obp.ru"},{"sourceId":2,"url":"https://Megapteka.ru/specials/besplodie-u-muzhchin-6346","shownUrl":"https://Megapteka.ru/specials/besplodie-u-muzhchin-6346","title":"Бесплодие у мужчин: Причины, диагностика, симптомы, профилактика","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":3,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/besplodie-u-muzhchin/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/besplodie-u-muzhchin/","title":"Бесплодие у мужчин — признаки, причины, диагностика и лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":4,"url":"https://www.cpsmed.ru/company/articles/muzhskoe-besplodie-prichiny-simptomy-i-lechenie-zabolevaniya/","shownUrl":"https://www.cpsmed.ru/company/articles/muzhskoe-besplodie-prichiny-simptomy-i-lechenie-zabolevaniya/","title":"Мужское бесплодие: причины, симптомы и лечение заболевания | Статьи ЦПС Медика","shortUrl":"cpsmed.ru","isTranslated":false,"description":"","greenUrl":"cpsmed.ru"},{"sourceId":5,"url":"https://polyclin.ru/articles/muzhskoe-besplodie/","shownUrl":"https://polyclin.ru/articles/muzhskoe-besplodie/","title":"Мужское бесплодие: причины, диагностика и лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":6,"url":"https://ProBolezny.ru/muzhskoe-besplodie/","shownUrl":"https://ProBolezny.ru/muzhskoe-besplodie/","title":"Мужское бесплодие: причины, симптомы и лечение в статье андролога Рыжков А. 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