{"id":15612,"date":"2023-03-31T10:38:30","date_gmt":"2023-03-31T09:38:30","guid":{"rendered":"https:\/\/now-fertility.com\/infertilite-masculine\/"},"modified":"2023-03-31T10:38:30","modified_gmt":"2023-03-31T09:38:30","slug":"infertilite-masculine","status":"publish","type":"post","link":"https:\/\/now-fertility.com\/fr\/infertilite-masculine\/","title":{"rendered":"Infertilit\u00e9 masculine"},"content":{"rendered":"<p class=\"lead\">Environ 8 % \u00e0 15 % des couples sont incapables de concevoir apr\u00e8s un an de rapports sexuels non prot\u00e9g\u00e9s.<\/p>\n<p>Le facteur masculin est seul responsable dans 20% des couples infertiles et contribue dans 30% \u00e0 40% des couples. Le facteur d\u2019infertilit\u00e9 masculine est souvent d\u00e9fini par des param\u00e8tres de sperme anormaux, mais peut \u00eatre pr\u00e9sent m\u00eame lorsque l\u2019analyse du sperme est normale.<\/p>\n<h3>Quelles sont les options de traitement?<\/h3>\n<p>Des options de traitement hormonal, chirurgical et d\u2019autres traitements m\u00e9dicaux sont disponibles pour l\u2019infertilit\u00e9 masculine. Pour choisir pr\u00e9cis\u00e9ment un traitement, un diagnostic pr\u00e9cis est essentiel. L\u2019analyse du sperme fournit des informations sur le volume de sperme ainsi que sur la concentration, la motilit\u00e9 et la morphologie des spermatozo\u00efdes. G\u00e9n\u00e9ralement, les hommes infertiles souffrent d\u2019un faible nombre de spermatozo\u00efdes, d\u2019une faible motilit\u00e9, d\u2019une mauvaise morphologie des spermatozo\u00efdes ou de tous ces facteurs ensemble. L\u2019oligozoospermie (5 millions\/mL), l\u2019asth\u00e9nozoospermie (motilit\u00e9 &lt;40%) et la t\u00e9ratozoospermie (&lt;formes &lt;normales 4%) sont des probl\u00e8mes majeurs dans les param\u00e8tres des spermatozo\u00efdes.<\/p>\n<p>L\u2019azoospermie est d\u00e9finie comme l\u2019absence de spermatozo\u00efdes dans l\u2019\u00e9jaculat. Environ 1% de la population g\u00e9n\u00e9rale et 10-15% des hommes infertiles souffrent d\u2019azoospermie. Les hommes atteints d\u2019azoospermie non obstructive ou d\u2019oligozoospermie s\u00e9v\u00e8re (&lt;5 millions \/ mL) courent un risque accru d\u2019avoir une anomalie g\u00e9n\u00e9tique d\u00e9finissable et devraient se voir proposer une analyse du caryotype et du chromosome Y avant d\u2019effectuer une ICSI avec leur spermatozo\u00efde.<\/p>\n<p>Pour les m\u00e2les oligo-asth\u00e9no-t\u00e9ratozoospermiques (TAO), le traitement contre la varicoc\u00e8le et les traitements d\u2019induction hormonale peuvent \u00eatre appliqu\u00e9s apr\u00e8s une investigation urologique.<\/p>\n<p>Pour les m\u00e2les azoospermiques, de nombreuses m\u00e9thodes de r\u00e9cup\u00e9ration de sperme ont \u00e9t\u00e9 d\u00e9crites. En particulier pour les cas d\u2019azoospermie non obstructive (NOA), la m\u00e9thode de r\u00e9cup\u00e9ration des spermatozo\u00efdes peut \u00e9galement \u00eatre critique dans la prise en charge. Les taux globaux de r\u00e9cup\u00e9ration r\u00e9ussie des spermatozo\u00efdes sont de 35% \u00e0 50% dans les cas d\u2019ANO, en particulier pour les proc\u00e9dures d\u2019extraction de spermatozo\u00efdes testiculaires par microdissection (mTESE), dans lesquelles les chirurgiens utilisent un microscope pour identifier les spermatozo\u00efdes dans les testicules qui peuvent ensuite \u00eatre r\u00e9cup\u00e9r\u00e9s chirurgicalement. Dans les cycles mTESE \u00e9chou\u00e9s, une technique empirique et novatrice d\u2019injection de spermatide ronde (ROSI) a \u00e9galement \u00e9t\u00e9 d\u00e9finie par un groupe de chercheurs au Japon (Tanaka et al 2015). L\u2019accumulation et l\u2019injection de spermatides rondes sous activation \u00e9lectrique d\u2019ovules ont abouti avec succ\u00e8s \u00e0 des naissances vivantes.<\/p>\n<p>Dans le centre de FIV Centrum Clinic, notre taux global de r\u00e9cup\u00e9ration de sperme est de 45% pour les cas de NOA. Plus important encore, nous avons utilis\u00e9 la nouvelle technique ROSI en utilisant l\u2019activation \u00e9lectrique PIEZO pour ceux qui ont \u00e9chou\u00e9 aux cycles mTESE, comme d\u00e9crit pr\u00e9c\u00e9demment par le Dr Tanaka (2015) du Japon. En collaboration avec le Dr Tanaka et son \u00e9quipe depuis 2016, nous avons document\u00e9 plus de 50 accouchements. Cependant, les taux globaux de grossesse sont encore faibles (1%) malgr\u00e9 toutes les innovations.<\/p>\n<h3>\u00c0 qui s\u2019adresse-t-il?<\/h3>\n<p>Les hommes souffrant d\u2019oligozoospermie (5 millions\/mL), d\u2019asth\u00e9nozoospermie (motilit\u00e9 &lt;40%) et de t\u00e9ratozoospermie (&lt;formes &lt;normales 4%) sont des sous-groupes majeurs. De plus, les m\u00e2les TAO s\u00e9v\u00e8res et les m\u00e2les azoospermiques sont les meilleurs candidats pour ces traitements, y compris les cas d\u2019azoospermie obstructive ou non obstructive.<\/p>\n<p>Pour les m\u00e2les azoospermiques non obstructifs, un examen urologique minutieux est crucial. Le traitement de premi\u00e8re intention est mTESE (avec un taux de r\u00e9ussite de 30 \u00e0 50%), et le nouveau traitement ROSI est une autre option avec des taux de r\u00e9ussite limit\u00e9s pour ceux qui ont \u00e9chou\u00e9 aux proc\u00e9dures mTESE.<\/p>\n<h3>Comment NOW-fertility le faciliter?<\/h3>\n<p>Dans de nombreux pays, lorsque les spermatozo\u00efdes matures ne peuvent pas \u00eatre obtenus lors de l\u2019extraction de spermatozo\u00efdes testiculaires, les patients se retrouvent souvent avec des options limit\u00e9es, telles que l\u2019utilisation de sperme de donneur. Les patients qui pr\u00e9f\u00e8rent envisager d\u2019autres options peuvent recevoir des informations sur la nouvelle technique RSI. Les patients qui souhaitent subir une ROSI ou une <a href=\"https:\/\/now-fertility.com\/services\/ivf-icsi\/\">FIV \/ ICSI<\/a> au <a href=\"https:\/\/now-fertility.com\/centres\/centrum-clinic\/\">centre de FIV Centrum Clinic<\/a> peuvent avoir leurs consultations virtuelles et une surveillance \u00e9chographique pr\u00e8s de chez eux, toutes deux organis\u00e9es par NOW-fertility, ce qui signifie qu\u2019un s\u00e9jour plus court en Turquie sera n\u00e9cessaire. Au Centre de FIV Centrum Clinic, notre objectif est de travailler en coordination avec NOW-fertility afin de r\u00e9pondre \u00e0 tous les besoins de nos patients.<\/p>\n<h3>O\u00f9 peut-il \u00eatre effectu\u00e9?<\/h3>\n<p>Centrum Clinic IVF Center dispose d\u2019une \u00e9quipe de laboratoire exp\u00e9riment\u00e9e et de tout l\u2019\u00e9quipement n\u00e9cessaire \u00e0 l\u2019application de la technique RSI, que nous mettons en \u0153uvre depuis 2016. Notre \u00e9quipe multilingue prend grand soin de nos patients internationaux tout au long de leur traitement, rendant l\u2019exp\u00e9rience confortable et aussi sans stress que possible. Notre centre dispose du certificat international d\u2019autorisation de tourisme de sant\u00e9.<\/p>\n<p style=\"font-weight: 400;\"><strong>Auteur: Centrum Clinic IVF Center<\/strong><\/p>\n<p style=\"font-weight: 400;\"><a href=\"https:\/\/now-fertility.com\/centres\/centrum-clinic\/\">Centrum Clinic IVF Center<\/a> , notre centre d\u2019excellence en Turquie, a \u00e9t\u00e9 cr\u00e9\u00e9 en 2002 et est habitu\u00e9 \u00e0 accueillir des patients internationaux, avec une gamme de services pour faciliter les d\u00e9placements pour le traitement de FIV.  <\/p>\n<h3>\u00cates-vous pr\u00e9occup\u00e9 par votre fertilit\u00e9?<\/h3>\n<p>If you would like to speak with a expert to learn more about how we can help, then please click below to get started.<\/p>\n<div class=\"elementor-element elementor-element-63de0fa0 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"63de0fa0\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"elementor-button-wrapper\"><a class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\" href=\"https:\/\/now-fertility.com\/consultation\/\"><span class=\"elementor-button-content-wrapper\"><span class=\"elementor-button-text\">R\u00c9SERVEZ UNE CONSULTATION<\/span><\/span><\/a><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Environ 8 % \u00e0 15 % des couples sont incapables de concevoir apr\u00e8s un an de rapports sexuels non prot\u00e9g\u00e9s. Le facteur masculin est seul responsable dans 20% des couples infertiles et contribue dans 30% \u00e0 40% des couples. Le facteur d\u2019infertilit\u00e9 masculine est souvent d\u00e9fini par des param\u00e8tres de sperme anormaux, mais peut \u00eatre [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":15254,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"2959","stick-header-meta":"enabled","header-above-stick-meta":"on","header-main-stick-meta":"on","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[33,71,95,67],"tags":[],"class_list":["post-15612","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-fr","category-enquetes","category-traitement","category-trucs-conseils"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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