This post is also available in: Serbian
How you can diagnose male infertility?
Even on condition of having regular unprotected intercourse, if a couple in which the female partner ages under 35 fails to conceive in 12 months (or after 6 months, if the woman is over 35) they are advised to undergo a detailed fertility screening to reveal causes that could be affecting their reproductive ability. Up to 50% of all episodes are related to male infertility factors.
The first step in the evaluation of male infertility is to obtain a thorough medical, reproductive and urological history. Then, to receive a thorough physical examination to evaluate the pelvic organs — the penis, testicles, prostate and scrotum. However, the cornerstone of the male infertility work-up is the semen analysis (to evaluate the sperm quantity and quality).
Additionally, other specific tests for male infertility diagnosis include:
- Post-ejaculatory urine sample (a post-ejaculatory urinalysis should be performed in a case having an ejaculate volume ＜ 1.0 ml- to exclude retrograde ejaculation. It’s important to rule out an improper or incomplete collection or a very short abstinence interval).
- Blood tests to evaluate hormone levels (Testosterone (T), follicle stimulating hormone (FSH), lutenizing hormone (LH), prolactin (PRL), thyroid stimulating hormone (TSH), and sex hormone-binding globulin).
- MAR test (Mixed Antiglobulin Reaction test is used to diagnose immunological infertility)
- Genetic tests to identify chromosomal defects (Y-chromosome microdeletions), genetic diseases (Klinefelter’s syndrome) or a number of other possible genetic mutations).
- DNA fragmentation (the damage of the sperm DNA, either during creation or maturation. Such sperm DNA damages are also associated with spontaneous miscarriage).
- Scrotal ultrasound (to identify most scrotal pathology: varicocle, spermatocele, absent vasa, epididymal induration and testicular masses).
Some infertility conditions in men can be reduced or even cured with changing a lifestyle, by simple introduction of healthy eating, stop drinking alcohol and using drugs, add physical activity and start taking vitamins and other supstances that can help you produce seed.
In that way you can prepare yourself for better response in IVF procedure and increase your success chances.