Work Up for Male Infertility

Male Infertility Workup

What is Male Infertility?

Male infertility is a condition where due to some underlying health condition, a man is not able to make her wife pregnant. These underlying conditions are infertility problems that reduce the chances of normal pregnancy. There are various causes behind male infertility like low sperm count, no sperm count, poor sperm production, some environmental factors, etc. The exact infertility problem in a male is diagnosed with a procedure called workup of male infertility.

These tests include some information on medical history, physical examination, and tests. These tests then rule out if there is an infertility problem in a male.

Everything You Need to Know About Male Infertility Workup

Workup for Male InfertilitySteps of Infertility workup for a male

Workup for male infertility

Male infertility is also one of the major reasons where a couple is facing difficulties in having a child. Male factor infertility is a cause of infertility in 40% of couples. Workup of male infertility includes an evaluation of the male partner to know the exact issue that is causing problems.

Workup of male infertility is like that of a female that includes some tests and investigations that rule out the exact fertility issue in a male partner. This evaluation is minimal and includes only the detailed reproductive history and semen analysis.

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Steps of Infertility workup for a male

We evaluate the total evaluation of male infertility by three major steps, which are:

Medical History

The key factors in the medical history will include information on reproductive history, medications, surgical and medical history as well. This also includes the details of lifestyle, family history, or information about any past illnesses or infections. Your doctor will look out for certain things like:

  • Frequency and timing of coitus or intercourse.
  • Any signs of sexual dysfunction, including ejaculation or erectile issues.
  • Duration of infertility
  • Prior fertility
  • Any childhood illness and its developmental history
  • Any systemic medical illness.
  • Some previous surgery (eg, cryptorchidism with or without surgery)
  • Any medication consumption including anabolic steroids and supplements (eg, testosterone), or for allergies.
  • Sexual history, along with sexually transmitted infections.
  • Exposure to gonadal trauma or toxins.

Semen Analysis

Semen analysis is the essential step of a man’s infertility evaluation. It tells us about the severity of the male infertility factor. Semen analysis is the quantitative evaluation of sperm parameters done under a high magnification microscope. Two to five days of abstinence is optimal before doing semen analysis. This way it ensures the best results.

Ideally, the semen sample is obtained by masturbation in the laboratory collection room. But on the other hand, semen collection at home is also possible if we transport the sample to body temperature for evaluation within 30 minutes. If there are abnormalities on semen analysis, repeat testing and further investigation should be done.

Semen analysis tells us a lot about the semen volume, sperm concentration in it, sperms’ motility and morphology. Once the semen analysis is done, your doctor can conclude after seeing the reports.

The World Health Organization Accepted Reference values for Semen Analysis, 2010

Specialized Test For evaluation Of Male Infertility

There are certain specialized tests that may be offered in specific cases of recurrent miscarriages or repeated IVF failures or severe oligospermia depending on clinicians discretion:

  • DNA fragmentation Index
  • Karyotyping
  • Y chromosome microdeletion testing
  • Cystic Fibrosis Gene Testing

Unexplained Infertility

Unexplained infertility may be diagnosed in as many as 20 to 30% of infertile couples. Unexplained infertility occurs when the definition of infertility is met, the basic infertility evaluation is performed, and all the test results are normal. At a minimum, these patients should have evidence of ovulation, tubal potency, and a normal semen analysis.

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Abhishek Parashar

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Hi, I and my wife Garima got married in 2013, and it's been 7.5 years since we had no children. We went to three-four doctors before visiting Gunjan IVF world. Then we went to Gunjan IVF center, where Doctor Gunjan ma’am guided us so friendly and she advised us to go for IVF. With their positive hands, we cracked in the first go and now we are blessed with twins. Especially, the team is too very cooperative they give you an environment which makes you feel very positive and comforting

Rohit Krishna Gupta

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We started the treatment with Dr. Gunjan in the year 2018 when my wife had an ectopic pregnancy. The key thing in this relationship was that we trusted the doctor blindly and the doctor also put their best efforts to help us in getting the good news. Hope everything will go positively. Thank you, doctor. Last but not least, Mr. Gaurav, the COO of Dr. Gunjan Hospital, is the biggest reason to have this long association with the doctor and the treatment. Always got positive thoughts and suggestions from him and they helped a lot. Thank you, Gaurav Ji.

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Abhishek Parashar

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Hi, I and my wife Garima got married in 2013, and it's been 7.5 years since we had no children. We went to three-four doctors before visiting Gunjan IVF world. Then we went to Gunjan IVF center, where Doctor Gunjan ma’am guided us so friendly and she advised us to go for IVF. With their positive hands, we cracked in the first go and now we are blessed with twins. Especially, the team is too very cooperative they give you an environment which makes you feel very positive and comforting

Rohit Krishna Gupta

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stars
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We started the treatment with Dr. Gunjan in the year 2018 when my wife had an ectopic pregnancy. The key thing in this relationship was that we trusted the doctor blindly and the doctor also put their best efforts to help us in getting the good news. Hope everything will go positively. Thank you, doctor. Last but not least, Mr. Gaurav, the COO of Dr. Gunjan Hospital, is the biggest reason to have this long association with the doctor and the treatment. Always got positive thoughts and suggestions from him and they helped a lot. Thank you, Gaurav Ji.

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Our Expert Team

Dr. Gunjan Gupta Fertility and IVF Specialist in Delhi

Dr. Gunjan Gupta Govil

Founder & Director

Founder, Director & Gynaecologist with specialization in IVF, Infertility & Laparoscopy of 20+ years of experience.

(20+ years of experience)

Dr. Gunjan Gupta Fertility and IVF Specialist in Delhi

Dr. Pradyot Kumar

CEO, Founder

Founder, CEO and a specialized Neurosurgeon who is an expert in complex Brain and Spine surgeries.

(25+ years of experience)

rmo at gunjan ivf world

Mr. Gaurav Singhai

COO at Gunjan IVF World

COO and an entrepreneur who co-founded Gujan IVF world along with Dr Gunjan and Dr Pradyot.

(5+ years of experience)

embryologist at gunjan ivf world

Paritosh Sarkar

Embryologist

He is a highly experienced and successful Embryologist with more than 10 years of experience in IVF.

(10+ years of experience)

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Patient Guide

Along with treating our patients, we also guide them with the help of our educational blogs and videos.

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IUI treatment step by step?

IUI treatment step by step?

Do you know the success rate of pregnancy with the IUI procedures ranges from 15% to 20% per cycle? Yes, this is true. IUI, which is Intrauterine insemination, is a kind of artificial insemination that helps in treating infertility issues. This a quick process in which the pre-selected sperm is directly injected into your uterus or womb.

What happens after IUI day by day?

What happens after IUI day by day?

IUI or Intrauterine insemination is a less invasive procedure when compared to IVF or In vitro fertilization. Couples get many benefits from this procedure as the chances of pregnancy increase a lot because of IUI.

10 Ways Smoking kills Your Fertility?

10 Ways Smoking kills Your Fertility?

Smoking comes as one of the most injurious habits to a person’s health and even when it comes to the fertility aspect, the impact is no different. This is where most of the fertility experts advise their clients to quit smoking whilst they are planning to have a child and it further lay a negative impact on the overall health of the future child in the process. Let’s see the 10 Ways Smoking kills Your Fertility.

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Difference between IUI, IVF and ICSI?

Difference between IUI, IVF and ICSI?

IUI stands for Intrauterine insemination or also known as artificial insemination. In this method, semen is washed and placed inside the uterine cavity so once the ovulation occurs or the egg is released the sperm will fertilise the egg.

IVF Process Start to Finish?

IVF Process Start to Finish?

The couple has to undergo certain IVF treatment evaluations. These are the blood test before IVF. IVF tests for Females: The female has to undergo several tests such as female hormonal tests, egg count and quality assessment, blood tests such as AMH, prolactin, thyroid & basic tests such as hemoglobin, sugar, etc. ultrasound is done to check the uterus.

Best age to get pregnant?

Best age to get pregnant?

Whether you want to conceive naturally or through IVF, the best period is between 20-30 years to get pregnant. During this time, women have the best fertility potential. Also, during this period the quantity and quality of the eggs or ovarian reserve is also good. As compared to men, increasing age affects women’s fertility a lot. If your age is between 25-30 years, the chances of getting pregnant with a single menstrual cycle are 25%. And as soon as your age increases, these pregnancy chances drop to just 5% when you reach 50.

Frequently Asked Questions

All FAQ’s

IUI treatment step by step?

Do you know the success rate of pregnancy with the IUI procedures ranges from 15% to 20% per cycle? Yes, this is true. IUI, which is Intrauterine insemination, is a kind of artificial insemination that helps in treating infertility issues. This a quick process in which the pre-selected sperm is directly injected into your uterus or womb.

read more

10 Ways Smoking kills Your Fertility?

Smoking comes as one of the most injurious habits to a person’s health and even when it comes to the fertility aspect, the impact is no different. This is where most of the fertility experts advise their clients to quit smoking whilst they are planning to have a child and it further lay a negative impact on the overall health of the future child in the process. Let’s see the 10 Ways Smoking kills Your Fertility.

read more

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The reasons for unsuccessful implantation are very uncommon and rare as well. Blastocyst provides a greater chance of becoming pregnant therefore the procedure is handled properly as well.

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Published on 29th Aug
The reasons for an unsuccessful implantation are very uncommon and rare as well. Blastocyst provides a greater chance of becoming pregnant therefore the procedure…
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India Greatest Brand & Leaders Award

Published on 29th Aug
The reasons for an unsuccessful implantation are very uncommon and rare as well. Blastocyst provides a greater chance of becoming pregnant therefore the procedure…

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