Male fertility tests
Male infertility can be treated in 85% of cases!
If during the tests mentioned below we find any abnormalities, then treatment will be provided in our andrology department.
- The evaluation of the male’s sperm is an integral part of the fertility tests. For this we need a sperm sample (after 3-5 days of abstinence) and a blood sample. We evaluate the sperm sample with a precise spermanalyzator and perform a bacteriology test . We check the mo bility, amount and shape of sperm cells.
- "Normozoospermia” – the normal sperm amount
This is the internationally accepted WHO guideline for a minimum amount of 1,5 ml; sperm concentration is 15 million sperm/ml; total sperm number is 39 million sperm/ejaculate; at least 40% of sperms are mobile; at least 45% are normal in shape. .
- Abnormalities found during evaluation of the sperm sample
- Oligozoospermia = less than 15 million in 1 ml.
- Asthenozoospermia = only 40%-a or less of the sperm are mobile.
- Teratozoospermia = more than 95% of sperms have morphologic problems.
- OAT syndrome = problems with all three variables.
Even if the ejaculat ion does not contain sperms (azoospermia), ICSI (Intra-cytoplasmic sperm injection) can still be carried out with the help of sperm extracted from the testicles or the epididymis by surgery.ICSI is a type of IVF procedures, find out more about it here.
2. Male bacterial panel
- Of course, the basic genital bacteriology tests should be done for the male as well. For this we need a urine culture, ejaculat ion bacterial culture, and cultures of Chlamydia, Ureaplasma, Neisseria of the ejaculat ion. If there is a chance of urogenital inflammations then we test the urine taken after a prostate massage for Chlamydia and Ureaplasma.
3. Blood test for the following viruses
Based on a blood sample we test for the following viral infections:
- Hepatitis panel (HBsAg, HbsAt, HBc At, anti HCV)
4. Genetic tests (if needed)
Significant abnormalities found during the spermiogram may indicate genetic problems. These can be Y chromosome microdeletions, cystic fibrosis or X and Y chromosome aneploidy that are discovered by thorough examination by our genetic team.
Y chromosome microdeletions are basically the lack of certain DNA sequences. This is the disorder of the genes responsible for sperm creation, maturation and movement. The disappearance of DNA probably happened in the embryo state of the person’s father, which is why his fertility was not affected. . After discovering which sequences are missing we can determine if there is a chance for fertilization. It is possible that we can extract intact sperm through testicular biopsy, otherwise fertilization is unfortunately not possible. Male children inherit this disorder.