The most appropriate treatment will depend on the factors underlying the infertility . In addition to resorting to medical therapies, it is very important to change one's lifestyle to improve sperm quality and reduce the fragmentation of sperm DNA.

The options are represented by:

• Treatment of infections . Antibiotic therapy might cure a testicular or seminal infection, but it is not always able to restore fertility.

• Treatment of problems of a sexual nature . Drug and sexological treatment of erectile dysfunction or ejaculation can help improve fertility.

• Hormone and drug therapy. If infertility is caused by low or high levels of certain hormones or problems relating to the way the hormones are used by the body, hormone replacement therapies can be used.

• The varicocele is often surgically corrected .

• Medically assisted procreation techniques (MAP) . PMA treatments involve the recovery of spermatozoa through normal ejaculation or by surgical extraction. The seminal fluid is then inserted into the female genital tract or used to perform an in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).

If the treatment doesn't work

In rare cases, it is impossible to treat male infertility problems. The specialist could then suggest that you use the sperm from a donor (banned in Italy) or start the procedures for adoption.