We know that infertility is nowadays very common and male factors make a significant contribution, as high as 40 % of infertility cases. Therefore, it seems logical and cost effective to address male factor first and manage it along with the evaluation of female partner.
Tests to Diagnose Male Infertility –
- Semen Analysis – It is a very simple test done in laboratory by analysing human sperms directly under the microscope . Various parameters of sperms are assessed like counts, motility and morphology etc. It gives a fair idea about the male factor infertility and the need for further testing will be decided upon this report
- Hormonal Tests – Blood values of FSH, LH, Testosterone , Prolactin and TSH are done to assess about spermatogenesis.
- Ultrasound Scrotum – To assess testicular volume and varicocoele ( Dilated veins)
- DNA Fragmentation– This test is sometimes advised for cases with normal semen sample but still giving negative results . If DNA damage is more than a certain limit , it can lead to poor results despite a normal sperm count, motility and morphology .
- Routine Blood tests and clinical examination of male partner
Common types of male infertility –
- Low sperm count ( OLIGOZOOSPERMIA )
- Low sperm motility ( ASTHENOZOOSPERMIA )
- Poor sperm morphology ( TERATOZOOSPERMIA)
- OATS (Oligo Astheno Teratozoo Spermia )-when all three are there!
- Absence of sperms ( AZOOSPERMIA)
- Sexual dysfunctions
Management of male infertility
Mild male factor infertility –
Severe Male factor infertility –
Obstructive Azoospermia –
Can be treated by doing corrective surgery.