It is usually seen that infertile couples have more than one cause of infertility. The clinic usually carries out a number of diagnostic tests to determine the cause of infertility.
Infertility tests can be expensive and a couple needs to plan for the fertility treatments.
Male infertility problems are seen to be usually involving:
This analysis is usually done by procuring Semen samples. They are usually obtained in a couple of ways. The male can provide a sample by masturbating and ejaculating into a special container at the doctor's office.
* Because of religious or cultural beliefs, some men may prefer an alternative method of semen collection. In such cases, doctor advise is generally given on how it can be done.
After the semen is collected, semen is then sent to a laboratory for analysis.
Following parameters are usually checked
1. To measure the number of sperm present
2. Look for any abnormalities in the shape (morphology)
3. Movement (motility) of the sperm
4. Indications of problems such as infections.
It has been observed that sperm counts fluctuate from one specimen to the next. In most cases, several semen analysis tests are done over a period of time to understand and form a pattern suitable for treatment.
General physical examination and analysis of medical history.
• In this your Genitals are examined for any abnormality.
• Analysis is also done for and asking questions about any
Chronic health problems,
Injuries or surgeries that could affect fertility. Your doctor might also ask about your sexual habits and about your sexual development during puberty.
Your treating Fertility expert might recommend additional tests to help identify the root cause of your infertility. These can include:
This test primarily uses high-frequency sound waves to produce images. A scrotal ultrasound can help your doctor see for other problems in the testicles and supporting structures.
Hormones are produced by the pituitary gland, hypothalamus and testicles. They play a key role in sexual development and sperm production. A blood test measures the level of testosterone and other hormones.
This test involves extracting samples from the testicle with a needle. If the results of the biopsy show that sperm production is normal, analysis for problem is likely caused by a problem with sperm transport.
Post-ejaculation Urine Analysis
It is usually seen that sperm in your urine can indicate your sperm are traveling backward into the bladder instead of out your penis during ejaculation.
Genetic Tests When sperm concentration is extremely low, there could possibilities of genetic causes. Usually in this case A blood test is ordered which can reveal whether there are subtle changes in the Y chromosome . Genetic testing might also be ordered to diagnose various inherited syndromes.
Specialized Sperm Function Tests
Modern Fertility science has given us a number of tests which can be used to check how well your sperm survive after ejaculation. Survivability is the key issue here. Another important factor which is taken is how well they can penetrate an egg and whether there's any problem attaching to the egg. Generally, these tests are rarely performed and often do not significantly change recommendations for treatment.
A small, lubricated probe is inserted from your rectum. The test allows your Fertility doctor to check your prostate. The test also helps to look for blockages of the tubes that carry semen.
At times it is seen that an exact cause of infertility can't be identified. With complexities increasing day by day, a lot of factors need to be analysed for giving an exact confirmation as to the cause of infertility. Even an exact cause isn't clear, your fertility doctor might be able to recommend treatments or procedures that will result in conception.
In cases of infertility, extensive tests are carried out on couples to determine the exact cause of the problem. This can help to determine who will require any specific treatments. From there it is determined if proceeding with assisted reproductive techniques is appropriate.
Treatments for male infertility:
Assisted reproductive technology (ART)
ART fertility treatments involve procuring sperm through normal ejaculation, at times surgical extraction or from donor individuals. This is determined case by case basis depending upon the requirements of the couples. The sperms are then inserted into the female genital tract, or used to perform in vitro fertilization or intracytoplasmic sperm injection.
A varicocele can often be surgically corrected or an obstructed vas deferens repaired. Prior vasectomies can be reversed. In those cases where no sperm are present in the ejaculate, sperm can more often than not be retrieved directly from the testicles or epididymis using sperm-retrieval techniques.
Antibiotic treatment might cure an infection of the reproductive tract, if that is the problem. Treating this would not be the only cause of infertility.
Treatments for sexual intercourse problems.
Medication and/or counselling can help improve fertility in conditions such as erectile dysfunction or premature ejaculation.
Hormone Treatments And Medications
Hormone replacement or medications in cases where infertility is caused by improper levels of certain hormones. There could also be problems with the way the body uses hormones.
When Treatment Doesn't Work
In rare cases, male fertility problems can't be treated, and it's impossible for a man to father a child. Your doctor might suggest that you and your partner consider using sperm from a donor. Modern couples also opt for adopting a child