INDORE

Male Fertility

Male Fertility- Treatment and Testing

Male Fertility Treatment

Low Or Nil Sperm Count

Issues pertaining to sperm quality can be sole cause of infertility in 20-30% of infertility cases and contribute to 40- 50% of cases of infertility overall.

Further evaluation when sperm count is low :

  • 1 more repeat semen analysis as per WHO 2021 guidelines
  • Post-ejaculation urine analysis ( in few cases )
  • Male hormones evaluation : Testosterone, FSH,LH, TSH, Prolactin
  • Specialized test Sperm vitality (to check if the sperms are alive when the sperm motility is low)
  • Genetic test
  • Karyotype , Y chromosome microdeletion
  • Parallel evaluation of wife for fertility status

Intracytoplasmic Sperm Injection

  • ICSI is advanced modification of IVF to fertilise egg with sperm 
  • During ICSI each oocyte is held & injected individually with selected sperm by trained embryologist
  • That is why the term ICSI- Intra Cytoplasmic ( of oocyte here ) Sperm Injection is used

ICSI is preferred over IVF in following cases:

  • Woman with low number of eggs.
  • Men with very low number of sperms.
  • Men with poor sperm quality.
  • Men with poor sperm motility.
  • Men with perm retrieved after TESA / micro TESA in cases of azoospermia.
  • Couple with previous partial or total fertilisation failure.
  • Couple using frozen sperms.

Hope this was helpful for basic understanding.

The aim of this discussion is to make anyone with curious mind to understand these condition better. It is not equivalent to detailed in person individualised consultation.

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If you want to understand your treatment options.

ICSI Treatment in Indore
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