Many infertile couples have quite one explanation for infertility, so it’s likely you’ll both got to see a doctor. It’d take a variety of tests to work out the explanation for infertility. In some cases, a cause isn’t identified.
Infertility tests are often expensive and won’t be covered by insurance — determine what your medical plan covers before time.
Diagnosing male infertility problems usually involves:
- General physical examination and medical record. This diagnosis may include studying your genitals and asking queries on any inherited conditions, chronic health problems that you may be suffering, illnesses, injuries, or surgeries that would affect fertility. Your doctor may additionally ask about your sexual habits and about your sexual development during puberty.
- Semen analysis. Semen samples are often obtained during a few alternative ways. You need to provide a sample by masturbating into a cup/ ejaculating into a special container that the doctor will give you. Due to many religious and cultural beliefs of Indian citizens, some men prefer the other method of semen collection because they are too shy to ejaculate in a cup. In such cases, semen is often collected by employing a special condom during intercourse.
Your semen is then sent to a laboratory to live the amount of sperm present and appearance for any abnormalities within the shape (morphology) and movement (motility) of the sperm. The lab also will check your semen for signs of problems like infections.
Often sperm counts fluctuate significantly from one specimen to subsequent. In most cases, some semen analysis tests are done over a period of your time to make sure accurate results. If your sperm analysis is normal, your doctor will likely recommend thorough testing of your female partner before conducting any longer male infertility tests.
Your doctor might recommend additional tests to assist identify the explanation for your infertility. These can include:
- Scrotal ultrasound. This test uses high-frequency sound waves to supply images inside your body. A scrotal ultrasound can help your doctor see if there’s a varicocele or other problems within the testicles and supporting structures.
- Hormone testing. Hormones that are produced by the pituitary gland, hypothalamus, and testicles also play a vital role in sexual development and sperm production. If you have abnormal activities in other hormonal or organ systems, it may also contribute to infertility. A biopsy measures the extent of testosterone and other hormones.
- Post-ejaculation urinalysis. The sperm which is present in your urine can help doctors examine if your sperm are traveling backward into the bladder rather than coming out during ejaculation (retrograde ejaculation).
- Genetic tests. When sperm concentration is extremely low, there might be a genetic cause. A biopsy can reveal whether there are subtle changes within the Y chromosome — signs of a genetic disease. Genetic testing could be ordered to diagnose various congenital or inherited syndromes.
- Testicular biopsy. This test includes the complete removal of samples from the testicle with a needle.
- Specialized sperm function tests. A variety of tests are often wont to check how well your sperm survive after ejaculation, how well they will penetrate an egg, and whether there’s any problem attaching to the egg. Generally, these tests are rarely performed and sometimes don’t significantly change recommendations for treatment.
- Transrectal ultrasound. A tiny, lubricated stick is inserted into your rectum. It allows your doctor to see your prostate and appearance for blockages of the tubes that carry semen (ejaculatory ducts and seminal vesicles).
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