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

Madhu Dhoundiyal

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It's been an awesome journey with priceless outcome. My tubes were blocked and was trying to concieve from last 2 years and then I got to know about Gunjan IVF from outdoor branding. Finally I met Dr.Gunjan, for IVF treatment to concieve. I am lucky enough to get blessed with Twin Daughters, thank you Dr.Gunjan for everything.

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

Madhu Dhoundiyal

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It's been an awesome journey with priceless outcome. My tubes were blocked and was trying to concieve from last 2 years and then I got to know about Gunjan IVF from outdoor branding. Finally I met Dr.Gunjan, for IVF treatment to concieve. I am lucky enough to get blessed with Twin Daughters, thank you Dr.Gunjan for everything.

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)

Know More About Team

Patient Guide

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

Educational Blogs

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Can Abnormal Sperm Morphology Cause Birth Defects?

Can Abnormal Sperm Morphology Cause Birth Defects?

Birthing problems can arise for many different reasons. It can take some time to conceive a child and more so it can become frustrating if you don’t know where exactly the problem does arise from.

Does Female Masturbation Cause Infertility?

Does Female Masturbation Cause Infertility?

Separate disorders with significant similarities include endometriosis and adenomyosis. The two illnesses involve tissue abnormalities lining the womb — the endometrium.

Does Covid 19 Affect Male Fertility?

Does Covid 19 Affect Male Fertility?

The world was in a panic when the Sars-cov2 came into existence on the face of the earth. To date, the pandemic has not only affected the world economically, physically but also mentally.

Educational Videos

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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.

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