Men receive diagnostic assessment with semen evaluation in our laboratory and, if needed, with genetic hormonal testing.
For male infertility, recent advances in sperm function testing are often more helpful in directing treatment than a traditional semen analysis.
We provide sperm retrieval techniques (PESE, TESA, TESE) for men with prior vasectomy and severely low sperm production. Diagnostic testing will help determine if some of these approaches will be successful. Men considering vasectomy reversal or direct sperm retrieval (without vas reversal) should consult with an experienced urologist or fertility specialist. This effort will help select the best option for a couple’s unique circumstances. The length of time since vasectomy is an important factor.
When sperm are accessible in infertile men, fertilization is assisted in vitro with an impressively high success rate. The technique called, IntraCytoplasmic Sperm Injection (ICSI) has dramatically improved outcomes for these couples.
When sperm is obtained for future reproduction such as for men planning vasectomy or chemotherapy, we offer cryopreservation on site and long-term storage arrangements through its affiliation with ReproTech, LLC ( www.reprotech.com).
The simplest fertility evaluation of a male is by semen analysis (SA), a process which calibrates sperm density, motility, and morphology.
The male partner is required to have one to three days of abstinence prior to the day of analysis.
Candidates for in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI) and intrauterine insemination (IUI) will have additional testing performed that includes identifying the more active sperm.
Male hormonal testing can help doctors and couples determine what factors may be contributing to their inability to conceive.
Sperm production is controlled by testosterone and many other hormones made in the brain. Our process evaluates the hormones essential to sperm production, including the follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and prolactin.
“Male factor infertility” is the name for any condition in the man that may be a reason why a couple cannot have a baby.
Our fertility specialist may recommend genetic testing if you have one or more of the following conditions:
- Very low sperm count, or no sperm seen in the semen
- Physical features that suggest a genetic cause
- Several miscarriages
The chances of identifying a genetic cause for male factor infertility depends on the laboratory test results, physical exam findings, ethnic and racial background, and family history.
The three most common genetic tests for males are:
- Karyotype (chromosome analysis)
- Y chromosome microdeletion test
- Cystic fibrosis (CF) gene test
Sperm Production Augmentation
Males can take simple steps to increase their chances of producing healthy sperm.
Possible options include:
- Practicing safe sex
- Eating a healthy diet
- Maintaining a healthy weight
- Managing stress
- Increasing physical activity