Clarity, for him too. A full male fertility evaluation, structured and non-invasive.
Male factor accounts for a meaningful share of couple infertility. The male evaluation is structured and non-invasive, and forms the foundation of every fertility workup at our center.
Also referred to as a sperm count test, it is the cornerstone of a male fertility evaluation. It allows to assess the health of a man’s sperm by analyzing the volume, pH, and liquefaction of the sample, the number of sperm cells, their viability, motility, and morphology, as well as the number of red and white blood cells.
The most commonly used normal values for a semen analysis are from the World Health Organization (WHO) 2010 update. Semen analysis is better performed at the laboratory, following an abstinence period of 2 to 5 days.
A full hormonal evaluation is warranted in males with altered sperm parameters, in order to identify treatable endocrine causes (hypothalamic, pituitary). The workup generally includes serum FSH, LH, total testosterone, prolactin, and TSH.
A testicular ultrasound is ordered in all males with altered sperm parameters to assess the anatomy of the testis, epididymis, and spermatic cord. Color Doppler imaging is always performed to rule out varicoceles, which are known to negatively impact sperm quality.
A transrectal ultrasound can be ordered in some cases of azoospermia in order to assess the prostate, the seminal vesicles, and the vas deferens.
The sperm DNA fragmentation test measures the proportion of sperm with fragmented DNA. DNA integrity is essential for fertilization and normal embryo development, and a high DNA fragmentation has been associated with decreased fertility, pregnancy loss, and implantation failure.
When you are ready to explore your options, we are here for you. Our fertility experts will help craft a personalized plan based on your needs.
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