Male Infertility Assessment

Male infertility assessment is a critical component of understanding and addressing fertility challenges. At our advanced fertility clinic in Sirsa, we provide comprehensive evaluation and diagnostic services to identify and treat the underlying causes of male infertility. Here’s an in-depth overview of the assessment process and the facilities we offer:

What is Male Infertility?

Male infertility refers to a man’s inability to contribute to conception despite regular unprotected intercourse over a significant period (typically 12 months). It is a factor in nearly half of all infertility cases and can result from a variety of physical, hormonal, genetic, or lifestyle-related causes.

Steps in Male Infertility Assessment

Comprehensive Medical History

  • Detailed review of medical, surgical, and sexual history.
  • Discussion of lifestyle factors, medications, and family history of infertility.

Physical Examination

  • Examination of the testes and penis for abnormalities.
  • Evaluation for signs of varicocele or hormonal imbalances.

Semen Analysis

A cornerstone test for male infertility assessment. The semen sample is analysed for:

  • Sperm Count: Total number of sperm.
  • Motility: The percentage of sperm moving effectively.
  • Morphology: The shape and structure of the sperm.
  • Volume and Viscosity: Overall semen quality.

Advanced Semen Tests

  • Sperm DNA Fragmentation Test: Evaluates the integrity of sperm DNA, critical for fertilisation and embryo development.
  • Reactive Oxygen Species (ROS) Testing: Assesses oxidative stress levels in the semen.
  • Vitality Test: Measures the percentage of live sperm in the ejaculate.

Hormonal Profile

Blood tests to measure levels of hormones such as:

      • Testosterone
      • Follicle-Stimulating Hormone (FSH)
      • Luteinising Hormone (LH)
      • Prolactin
      • Thyroid Hormones
  •  

Ultrasound Imaging

  • Scrotal ultrasound to evaluate the testes, epididymis, and the presence of conditions such as varicocele or obstruction.
  • Transrectal ultrasound (TRUS) to assess the prostate and seminal vesicles.

Genetic Testing

  • Screening for chromosomal abnormalities or Y-chromosome microdeletions that may affect sperm production.
  • Tests for conditions like Klinefelter syndrome or cystic fibrosis.

Testicular Biopsy

A minor surgical procedure to evaluate sperm production directly from the testes, used in cases of azoospermia (absence of sperm in the ejaculate).

Lifestyle and Environmental Assessment

Evaluation of occupational exposures, diet, stress, and habits that may impact fertility.

Who Should Undergo Male Infertility Assessment?

Male infertility assessment is recommended for individuals or couples experiencing difficulty conceiving, particularly in cases involving:

  1. Low Sperm Count: Reduced number of sperm in the ejaculate.
  2. Poor Sperm Quality: Issues with sperm motility or abnormal morphology.
  3. Medical History: A history of conditions such as undescended testicles, varicocele, or testicular trauma.
  4. Lifestyle Factors: Exposure to environmental toxins, smoking, or heavy alcohol consumption.
  5. Unexplained Infertility: When no obvious cause is identified in the female partner.

How to Maximise Success Rates

  • Timely Assessment: Early diagnosis can address infertility issues before they become more complex.
  • Healthy Habits: Maintaining a healthy weight, avoiding tobacco and alcohol, and reducing stress can improve outcomes.
  • Choose Expert Care: Opt for a well-equipped fertility clinic with experienced specialists.
  • Comprehensive Support: Use counselling services to manage the emotional challenges of the infertility journey.

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