INFERTILITY ASSESSMENT AND TREATMENTS
Infertility is described as not being able to have a child after a one year of regular and unprotected sexual life of a couple. It has been shown that infertility might be due to each partner in equal terms. Male infertility should be assessed simultaneously with the female partner. The first step is manual examination and assessment of any causative factors followed by sperm analysis.
A sperm analysis involves checking a sample of semen for overall sperm health.The process can help doctors to determine the underlying cause of a person’s inability to conceive, or it may confirm the outcome of a vasectomy.
In order to obtain an accurate result, it is recommended that the analysis be performed after abstaining from sexual activity for two to five days. Semen Analysis assesses:
- Motility – the movement of the sperm
- Morphology – the percentage of sperm with normal shape
- Count – the number of sperm present in one sample
- Vitality – ability to live
Scrotal Color Doppler ultrasound
Testicular tissues should be evaluated with imaging. Also, the presence of varicocele should be sought. This is done by the aid of the ultrasonography. Your doctor will be able to assess the testicles, epididymis, spermatic cord structures and the blood supply of the testes. It is a non-invasive procedure and is painless.
Hormones play a major role in the production and the function of sperms. They will be assessed to help regain fertility capacity for you.
Treatment options of male infertility depend on the cause and the severity of the situation. Oral medical and supplementary medical treatments may be used alone or in conjunction with other treatment options. In the case of a varicocele existence, microscopic surgical option is a day surgery with minimal effect on your daily life. If there is an obstruction of the sperm channels ( vas deferens) a correction surgery may be necessary. Even if there is no sperm in the analysis ( azoospermia) it does not mean that your testicles are not producing any sperm. In a procedure called micro-TESE, sperm is directly sought for in the testicular tissue and about 50-65%, results in sufficient sperms for an IVF procedure.