Work Up for Male Infertility
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.
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.
Steps of Infertility workup for a male
We evaluate the total evaluation of male infertility by three major steps, which are:
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 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.
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
- Y chromosome microdeletion testing
- Cystic Fibrosis Gene Testing
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.
It’s always the word of mouth that’s the best advice
Rohit Krishna Gupta
Had a great experience with Dr. Gunjan. We visited the clinic as we had some queries regarding the conception process. Dr. Gunjan listened to the queries and answered all those with patience. And we had good news at the next consultation itself. Dr. Gunjan is very experienced, is soft-spoken, and very diligent with the process. Highly recommended!
Know the Expert before you visit our clinic
A team of Specialists working together as a team with a single Goal: Patient Satisfaction
Dr. Gunjan Gupta Govil
MRCOG(UK), MD(Gynae) – Founder & CEO
She is a Gynaecologist with specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in treating Infertility, performing Gynae Laparoscopy (Keyhole Surgeries) & Handing high-risk Pregnancies. She is a noted speaker in National and International level conferences and has also chaired various sessions on Infertility
- 86% (218 Votes)
- 86% (218 Votes)
- 86% (218 Votes)
Dr. Pradyot Kumar
Dr. Pradyot Kumar is the founder and CEO of Gunjan IVF World. He is a Neurosurgeon with specialization
(20+ years of experience)
Mr. Gaurav Singhai
Co-Founder & COO
He has 15 years of Managerial Experience from various National & International Organizations like TCS, Fiserv & Sopra Steria. He has lived and worked with various MNCs in the US, UK, France & The Netherlands and gained immense experience and skills which he now contributes to Gunjan’s IVF World assiduously.
Dr. Abhishek Parihar
He is a dedicated & experienced Gynaecologist offering comprehensive fertility practice oriented towards fertility treatment. He has vast experience in dealing with infertile couples and providing health care assistance to them during course of their treatment.
He is a highly experienced and successful Embryologist with more than 10 years of experience in IVF. He has done M.Sc. in Biotechnology from MIMS, Jaipur. He has done more than 4000 IVFs and 3000+ ICSI cases till date.)
Dr. Arshi khan
She is another proud member of our medical team & while serving as a RMO for the past few years, she assists Dr. Gunjan during her session with various patients. Moreover, She is a graduate in BUMS and aspire to achieve greater heights in her career in the future.
Ms. Nivedita Rai
She is the Head Counselor at Gunjan IVF world who counsels and coordinates with our patients during the course of their treatment. Patients hold a very high regard for her. She has pursued her MBA from IMT Ghaziabad & been a part of our Gunjan IVF world Family since past many years.
We not just treat our patient, we also guide them throughout all medical terms and their problems
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.
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.
The reasons for an 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.
Before jumping to the immediate question first let’s have a small brief of what is blastocyst transfer. Blastocyst transfer is the transfer of embryos that have achieved a higher stage of development.
Normally in natural pregnancy, when a period cycle starts, an egg gets matured in the ovaries. When it becomes 18-20 mm then it is released at that time. After a physical relationship between a couple, the sperms fertilize this mature egg in the fallopian tube. Once the fertilization occurs, this fertilized egg converts into an embryo and sticks to the uterus that causes pregnancy.
If we talk about the term “Secondary Infertility” it generally refers to a situation when a woman is going through certain infertility issues even after carrying a baby already in her life. Moreover, this type of Infertility results in almost 50 percent of total infertility cases in women around the world. This is most common in couples who think of having a baby in their late 30s and 40s.
Egg freezing, medically known as human oocyte cryopreservation. It is an effective procedure allows the woman to go against the biological clock. It enables women to postpone pregnancy to a later date. In this phenomenon, eggs extracted, frozen and stored. The success rate of the procedure depends on the age of the woman and ranges from approximately 14% to 30%.