SERVICES
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Evaluation of Male Patient |
| Deccan Fertility Clinic administers
the following tests to determine problems of the male partner
concerning inadequate or abnormal sperm production and delivery,
anatomical problems, previous testicular injuries or hormonal
imbalances. These tests are based on the physician's examination
and analysis. |
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| The male partner provides a
semen sample that is analyzed with a battery of advanced andrology
tests in our fully-equipped laboratory. In addition to the standard
semen analysis using World Health Organization (WHO) criteria,
we also analyze sperm to assess the number of motile sperm that
can be extracted from the ejaculate. |
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| Normal Semen Analysis |
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| We encourage male partners to
have their semen analyzed at our laboratory so the samples can
be tested against rigorous standards. In addition to the routine
analysis of our morphology, motility and concentration, some
of the additional testing we perform on the semen includes: |
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Routine semen cultures to detect
infections |
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Pre and Post processing to determine
what to expect for our IUI or IVF procedures |
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Testing for antisperm antibodies
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Long Term Survival Studies |
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Detection of biochemical markers
in the semen
for example: fructose testing |
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Additional diagnostic testing
for patients with severe male problems
for example: HOS Test |
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| In cases where the semen analysis
is normal, treatment will focus on the work-up of the female
partner only. |
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| According to WHO a normal semen
analysis includes: |
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A Sperm Concentration of greater
than 20 million sperm |
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Motility or movement of sperm
of greater than 40% |
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Volume greater than 2cc |
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Additionally, our laboratory
uses the Kruger classification of more than 14% normal morphology |
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| Abnormal Semen Analysis |
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| An Abnormal Sperm Analysis is
repeated first for verification. Typically, the male partner
is referred to a urologist for evaluation. If the urologic evaluation
is normal, results of the sperm count determine further treatment.
For example, a total motile sperm in excess of 5 - 10 million
would make intrauterine insemination an option. If the number
is less than a 1 million, ICSI would be a better course of treatment. |
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| Azoospermia |
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| Azoospermia is a condition,
where there is no sperm in the initial fluid. In most cases,
it is caused by either primary testicular failure or hormonal,
chromosomal or obstructive abnormalities. Patient need hormonal,
urologic, genetic or ultrasonographic examinations to further
evaluate the problem. |
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| Sperm Antibodies |
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| Antisperm antibodies are substances
that attach to the surface of the sperm and may interfere with
the ability of the sperm to move & penetrate the cervical
mucus, or to fertilize an egg. They must be ruled out when infertility
is either unexplained, following an abnormal postcoital test,
or when significant sperm coagulation is noted in the initial
semen analysis. Our laboratory uses the immunobead technique
to detect sperm antibodies. If they are detected, sperm washing
in conjunction with IUI or IVF is considered. |
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