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Male Fertility Evaluation

Male Fertility Evaluation

Fertility assessment is a way to learn more about your fertility and your options.

It is important that man be present for fertility evaluation along with his wife / partner, More often, a lot of time is spent with the woman before the male partner / husband turns up at the clinic only to find out that he has very low sperm count or some other fertility or sexual problems.

Anyone who has been trying to unsuccessfully to conceive for more than 12 months is advised to check with the fertility specialists to find out if any issues are present.

However, couples need earlier evaluation (after 6 months of trying) and they should not wait long if woman is >35 years, man is >40 years, women have delayed periods, endometriosis, previous ovarian surgery, sexual dysfunction and family history of early menopause.

The sooner you identify and treat these problems, the better your chance of getting pregnant and having a healthy pregnancy

Evaluation of male fertility begins with a thorough history.

Age of the man: Male fertility decreases after 40 years of age. Sperm quality reduces and women may take longer time to conceive. There is increased risk of miscarriage in women if man’s age is > 40 years.

Duration of fertility issues is noted and any prior treatment/ tests are recorded.Fertility declines significantly after 2 years of trying naturallyA thorough sexual history with frequency of sex, erection/ejaculatory problems frequency of sex, fear of having sex and desire is asked for. Having intercourse once in every 2 or 3 days will cover the fertile daysMedical problems like diabetes, hypertension, tuberculosis and endocrine problems like thyroid and prolactin tumors are noted. Childhood history of viral infections, surgeries for congenital hydrocele/hernia are asked for. Injuries to the testis like twisting, cricket ball/ cycle bar trauma are noted. Family history of fertility problems is very significant. History of infertility in siblings is asked for. Occupational history suggestive of increased exposure to heat like welding, truck driving is asked for. Also stress, anxiety and sleep disorders are job related and noted.

Physical examination should include assessment of height, weight, Blood pressure, Thyroid, body habitus and general appearance.Examination of genitals: To know the testicular size, any palpable mass, to check epididymis, feel the vas deferens and to rule out varicocele.

Blood count, lipid profile and diabetic status are assessed. Hormone Assays (if needed): Follicle stimulating Hormone (FSH), Luteinizing hormone (LH), Testosterone, Prolactin, Estradiol, TSH(if needed for some patients).                                                                                    Serologytests are mandatory: HIV, HbsAg, HCV, and VDRL to prevent potential transmission to their offspring’s.

Semen Analysis: Semen analysis is the mainstay and only initial investigation done for men. Though an important test, semen analysis is not always a measure of the fertility potential in the male. The sperm count can be highly variable is even in a normal fertile man.

Parameters

Lower Reference limit

Semen volume

1.5 ml                                         (1.4–1.7)

Total sperm number

39  million / ejaculate              (33–46)

Sperm concentration

15  million / ml                          (12–16)

Total motility (PR + NP)

40 %                                             (38–42)

Progressive motility (PR)

32 %                                             (31–34)

Vitality (live spermatozoa)

58%                                              (55–63)

Sperm morphology

4 % normal forms                     (3.0–4.0)

Scrotal Ultrasound: to confirm varicocele and rule out any other abnormalities.

Treatment options:

Poor sperm quality can be helped through a change in lifestyle, losing weight by exercising regularly and having healthy food, limiting cell phone exposure, reducing alcohol and quitting smoking.

Daily supplement of antioxidant-rich foods such as vegetables, fruits, whole grains, fish, nuts and seeds can help to improve the semen parameters.

Treatment with medications should be continued for at least 2 to 3 months to notice any improvement in the semen parameters. Hormonal medications are tried to increase the sperm count. Antioxidants help to improve sperm motility and morphology.

Various treatments are also available to treat male infertility. These include

  • Intra Uterine Insemination
  • In vitro Fertilisation (IVF)
  • Intracytoplasmic Sperm Injection (ICSI)

Varicocele surgery: This is done for men with severe grade varicocele with low count, motility and morphology.

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Our dedicated team of professionals is here to provide you with the support and guidance you need. Whether you’re seeking medical advice, counseling services, or expert consultations, we’re here to help.

Testimonials
Testimonials

What Our Client Say

We love that our patients feel inspired to write about the care they received here at Vishvas Fertility! Here are some of the wonderful letters and comments we have recently received.

pramod kr
pramod kr
2023-11-07
We visited Dr. Basavaraj for our treatment. We had to visit for over an year and couple of procedures. Doctor is very knowledgeable and has vast experience. Nurses and other lab staff are good. Initially the wait time was less ,however off kate the wait time is on higher side since doctor does scan and procedures in parallel. The wait time doesn't change even with prior appointment . This is especially true in Marathahalli centre. This can be improved. I feel cost here for treatment is much lesser than any corporate hospitals or other centres. Doctor is mostly straight forward and not verbose. Also doctor prescribes just enough medication which might or might not be good, hard to judge.
Rajeev Kothamachu
Rajeev Kothamachu
2020-11-12
I highly recommend the doctor if there any complications. I visited him and we got very good results. He has very good patience and listen all the problems. Doc is not that commercial he is collecting the same from last 4 years. We are now visiting him again for 2nd pregnancy..
Divya Sharma
Divya Sharma
2020-09-08
Dr Basavaraj is amazing and genuine person. Report asked by him are only needed one, no additional like many other place. All clinic staff are even good n helpful, Appointment recommended Over all very good Dr for fertility.
Vinay K
Vinay K
2019-05-16
Very good doctor , provides good information about the procedures ,
Abhijit Sarkar
Abhijit Sarkar
2019-05-14
We worship God and many says that Doctors are possibly the one. We (me and my wife) evident that in our difficult time. Thank you Dr. Basavraj for your treatment and care. You will always be there in our heart and any word of gratitude is not enough. We have blessed with a baby boy and he is doing great. we were struggling from almost 3 years and finally we have been blessed. We (me and my wife) can never forgot what you did for us. When in difficult time people goes away, you have been our hope and belief. we were really very lucky enough that we got a chance to meet you in person and got the treatment. Our Best wishes to you Doctor and may you help many more people who are suffering from fertility issues. We were really amazed that even after such a busy schedule doctor finds the time to respond whenever it was required (in panic situations). Thank you once again doctor for your personal attention. Our best wishes for you and your family. We will surely come and meet you very soon, I am sure my son also will be blessed by just seeing you. You have given us the reason to Smile 🙂
Bharath Konegadde
Bharath Konegadde
2019-05-06
Dr Basavaraj Shetty take care and advice till 3 months pregnancy . One of the best doctor in hsr
Dr Chetan Kumar N.G
Dr Chetan Kumar N.G
2019-04-16
Dr Devarshetty has a midas touch in his treatment apart from his knowledge skills as a infertility specialist. I recommend all patients to be open minded while consulting him. My wife had a very difficult phase in conceiving after getting ectopic pregnancy twice in 2015-16 because of her PCOD . Being a Dr myself i couldn't cope up with the stress with which i and my wife underwent during those times,later in 2016-17 after Dr Devarshetty advise and treatment we finally became parents and it was the most joyous moment of our married life. Now we have a healthy baby girl 10m old..posted mother and baby image.

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