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Male Infertility – What are fertility tests and treatment for men


14 Sep Male Infertility – What are fertility tests and treatment for men


Infertility is a serious problem faced by couples. Not being able to conceive a child is very heartbreaking news for the couple. The couple is startled when after several attempts of getting pregnant, the result is still negative.

Sterility in men is a growing problem and the number of men facing the problem are many. For men suffering from sterility, there can be various reasons. Infertility can be cured with certain medications and by bringing significant changes in the lifestyle, but the problem needs to be identified first.

To test infertility, to conclude the reason for infertility and then to come up with the right cure, there are some tests that the patient is run through.  Almost all the top 5 infertility clinics in India ask men to take the following diagnostic tests to find out the exact problem to begin with the infertility treatments:

  1. Scrotal Ultrasound: Varicocele is a problem that is one of the common problem leads to infertility in men. To test the severity and the kind of blockage that is created on the blockage, a scrotal ultrasound is helpful. It helps the doctor to see if there is varicocele or something else that is interrupting the testicles. In this test, high frequency sound waves are sent to produce images inside the body.
  2. Post ejaculation urinalysis: Retrograde ejaculation can cause severe troubles. Apart from infertility, it can cause other health issues. It is important to perform tests for the same. Post ejaculation urinalysis is a test that test the urine for sperm content. If sperm is found in the urine, it means that the sperm travels backwards in the bladder instead of passing out through the penis.
  3. Hormone testing: Hormonal balance plays a very vital role in reproductive system in both male and female. Hormones produced by pituitary gland and the hypothalamus gland and testicles are the sexuality drivers and are responsible for sexual development and also in sperm production. A hormonal test is a test that identifies the hormonal imbalance. If the hormones are not balanced, the balance can be brought by prescribing medicines, through dietary consultation and also through injectables.
  4. Testicular biopsy: In this test, a sample from testcles are extracted and tested for injection of blockage. The biopsy gives a clear picture of what is wrong and also the reason for infertility.
  5. Sperm test: The sperm is collected and checked for quality. Ther sperm count, the sperm motility rate is checked to see whether the sperm is fit to swim and combine with the female egg. If the problem in the sperm persists even after medication, an external sperm donor can be used to IVF treatment. All the top 5 infertility clinics in India have a list of sperms donors and a sperm bank to help couple suffering from unhealthy sperm.
  6. Transrectal ultrasound: To check the prostate gland and what is interfering and blocking the tube that carry sperm. For this test, a lubricated want is inserted through the rectum up until the prostate and the veins can be seen. The doctor through the wand can see the ejaculatory ducts and seminal vesicles.

The above tests reveal the severity of the problem and helps in asserting clinical diagnosis. There are specialised machines and experts in all the top 5 infertility clinics in India to perform the tests and to diagnose.

Whenever a couple approaches a doctor for being unable to conceive through the natural process, the doctor asks  the patient to run through the tests. Many couples have a question that when should they opt for the infertility tests. Here are some of the symptoms that if ossur, you should take infertility tests:

  • Problems with sexual function — for example, difficulty with ejaculation or small volumes of fluid ejaculated, reduced sexual desire or difficulty maintaining an erection (erectile dysfunction)
  • Pain, swelling or a lump in the testicle area
  • Recurrent respiratory infections
  • Inability to smell
  • Abnormal breast growth (gynecomastia)
  • Decreased facial or body hair or other signs of a chromosomal or hormonal abnormality
  • Having a lower than normal sperm count (fewer than 15 million sperm per milliliter of semen or a total sperm count of less than 39 million per ejaculate)

The tests that are asked by the doctor are to find the exact reason for the infertility. This helps in proceeding with the medication. Many of the issues that lead to infertility can be rectified by s course of some medicines. For the issues that cannot be cured through medication, there are surgeries that can be done. If there is a lot of risk involved in the surgery, the sperms can be inseminated in the woman’s uterus, of IVF treatment can be taken.  Another option to opt for an external sperm donor and then go for IVF.

Dr. Pranay Shah

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