Semen Analysis

According to the WHO, infertility is defined as failure to conceive after 12 months or more of regular unprotected sexual intercourse. It affects 8-12% of cases worldwide. Out of which approximately 40-50% is due to male factor infertility. 2% of all men will exhibit suboptimal semen parameters. The traditional semen analysis is the established cornerstone of assessing male fertility.

 

Parameters assessed during semen analysis in testing semen quality

The various parameters assessed during semen analysis are:

  • Macroscopic liquefaction
  • Appearance
  • Viscosity
  • Volume
  • Ph
  • Microscopic motility
  • Concentration
  • Morphology
  • Vitality

All the macroscopic parameters in semen analysis, denote the functional capacity of the necessary male organs namely seminal vesicles, prostate and whether or if the whole tract from testes to the urethra is patent.

 

Microscopic parameters of semen during semen analysis

Motility

Motility is indicative of a decrease in the functional competence of spermatozoa and is directly related to the quality of the spermatozoa. According to the WHO, it is graded into 3 categories, progressive, non-progressive and non-motile.

Concentration

It is the oldest parameter reported to be investigated during a semen analysis. It depends on a variety of factors; the volume of the testes, the period of sexual abstinence prior to ejaculation, the size of epididymal sperm reserve as well as the extent of ductal patency.

Morphology

It provides vital information on the semen quality and has been considered on essential parameters when establishing the fertility status of a patient.  A number of sperm tests of varying complexity have been received like automated computer image semen analysis. Sperm DNA fragmentation can test the genetic constitution of the sperm while other tests assessing human sperms – egg interaction are of uncertain value.

 

Factors affecting semen quality

  • High temperature can cause decreased sperm count.
  • Obesity
  • Alcohol
  • Smoking
  • Marijuana
  • Stress
  • Chemicals like pesticides

Infertility Treatment

Statistics say that about eighty percent of the couple that approach for infertility treatment can be treated by counselling alone and it is only twenty percent of them that require some form of infertility treatment.

Infertility

Infertility is not a disease but a condition where in a particular couple is not able to conceive. Infertility problems in a couple can be due to either the woman or the man, or it can be even due to problems in both ….

Infertility Diagnosis

Infertility diagnosis is performed initially, by collecting complete medical history and physical examination. It will then followed by diagnostic tests for infertility. The common tests are urine tests, blood tests, …….

Infertility Causes

As the age increases the ovarian reserve (total no of eggs) in the ovary will significantly come down (especially after 33 years) and there seems to be issues in women like fibroid, endometriosis etc which ……

IVF Treatment Procedures

IVF (Invitro Fertilisation) refers to a procedure where women’s egg are removed and fertilized with man’s sperm outside the body in the laboratory. The embryos thus formed are then put back into the uterus ….

Intra Uterine Insemination

IUI and AI are one and the same fertility treatment. A small tube is used to place specially washed sperm directly into the uterus. While fertility drugs are not always used during IUI, most doctors ……

IVF Treatment

While every fertility clinic’s IVF protocol will be slightly different and IVF treatment are adjusted for a couple’s individual needs, here is a step-by-step breakdown of what generally takes place during an ……

OHSS

With ovarian hyperstimulation syndrome (OHSS), though, the ovaries become dangerously enlarged with fluid. This fluid can leak in to the belly and chest area, leading to complications. If your doctor …..

Female Infertility

Female infertility include problems with ovulation, damage to fallopian tubes or uterus or problems with cervix. Age is another major issue that contribute to infertility because when a women ages, her fertility …….

Fertility Medication

The objective of the fertility treatment is optimization  of outcome with minimization is opting of risk. A flexible dosing during stimulation is essential for optimizing the cycle outcome.

Ovulation Analysis

Ovulation analysis is the process by which the fertility is assessed to find the fertile window and general assessment. Various methods exist for ovulation testing. Various methods exist for ovulation testing.

Hysterosalpingogram

It is used to know whether the fallopian tubes of the patient are blocked and whether blockage is at the junction of tube of uterus (proximal) or at the distal end. Radiographic contrast dye is …….

Cryopreservation

Cryopreserving agents that minimize damage to the cells during freezing and thawing process. Semen cryopreservation also called sperm banking is a procedure to preserve sperm cells.

Ultrasound Assessment

Transvaginal sonography is one of the indispensable investigation as far as infertility patient is concerned. It is non-invasive and the single test that parallels to clinical assessment. Assessing the …..

Fertility Age

As the women gets older the incidence of chromosomally abnormal eggs increases dramatically. The mecoha spindle is a critical component of eggs that is involved in organising the chromosome ….

Semen Analysis

All the macroscopic parameters in semen analysis, denote the functional capacity of the necessary male organs namely seminal vesicles, prostate and whether or if the whole tract from testes to the …..

Laparoscopy

In general, semen analysis, hysterosalpingogram, assessment of ovulation and ovarian reserve should be the initial investigations and if no cause of infertility found, laparoscopy should be done.

Male Infertility

Anything that effect the hypothalamus pituitary endocrine system which regulates the sperm production can be detrimental. There are also a wide variety of physical problems like varicocele, ……

Infertility Specialty Doctors

Ask a Doctor

You can ask a doctor regarding your treatment queries.  Type in your name, email address, your message to a doctor and click ‘Submit’ button.

Pin It on Pinterest