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What about men? What medical tests are conducted on them?


The medical tests performed on men are just as important as those carried out on women before starting assisted reproductive therapy

What about men? What medical tests are conducted on them?

The first step before assisted reproductive therapy is to undergo a full medical examination to determine the most appropriate technique in each case. To obtain this diagnosis, it is necessary for the both man and the woman to have a medical examination. What tests are involved in the case of men?

A semen analysis or seminogram is the first and most common of all these procedures. It is a simple test to determine the concentration, mobility and shape of the sperms in a semen sample.

A test that is complementary to the seminogram is the sperm capacitation or REM test, which consists of separating from the semen all the fluids and elements it contains in order to isolate the sperm and leave them in a medium that is enriched with nutritive substances. This way, the sperm with the best mobility can be selected and separated from the rest. Based on this count of sperm with good mobility, a determination can be made about which of the existing assisted reproductive technique can be used to fertilise the egg.

Sometimes it is necessary to use another, more complex test such as semen cultures, which detect potential infections that affect the sperm quality. Another possibility is a hormone test; this allows anomalies in the levels of certain hormones, for instance, testosterone, to be detected through a blood test.

In certain cases a physical examination is necessary. The specialist feels the testicles to check that they have descended in full and ensure they are of the right size. He will also ensure that there are no irregularities in the deferent ducts which connect the epididymis with the ejaculatory ducts, where the semen is stored. If the man cannot obtain semen by ejaculation, a testicular biopsy procedure is used: the sperm in the testicles is recovered by means of a small puncture and that sperm is then analysed and frozen, to enable it to be used at a later date.

The more information the better

The information given to the doctor during the first visit, for instance documents from previous assisted reproductive treatments, is always helpful. If the patient has a disease, it is important for him to provide the clinic’s medical staff with the reports of his specialist. All this will be of great use in determining the best treatment.

Whenever the doctors consider it necessary, additional tests can be requested, such as karyotyping, to examine the chromosome characteristics and rule out any possible chromosomal alterations that could cause sterility or infertility.

To guarantee your comfort, our specialised medical team can perform all the tests during your first visit. However, if you wish you can bring the test results with you from your place of residence.

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  • Samuel

    Low sperm count can be caused by a nbuemr of things so the “cure” will depend on the cause. In some cases low sperm count is irreversible (eg where it is caused by age).+ improve your diet. Eat only fresh, non-processed and organic food. Chemicals in many processed or non-organically produced foods mimic female hormones and act to reduce sperm count. Avoid fatty foods because female hormones dissolve readily in fat. NO junk food, microwave ready-meals or anything with preservatives, artificial colourings or flavourings.+ Wear cooling, loose-fitting clothes around the testicles. Sperm survives best at slightly below body temperature (which is why the testicles are outside a man’s body). Tight clothing holds the testicles close to the body, warming them up and harming the sperm. Hot baths will also harm sperm production an ancient Far Eastern method of contraception was for the man to sit with his testicles suspended over a bowl of boiling water!+ Reduce weight and stop smoking and drinking. Cut down on coffee consumption or switch to de-caff. Moderate excercise will also help.+ Reduce the frequency of ejaculation. Sperm is produced constantly and stored until needed. Reducing the frequency of ejaculation to, say, once or perhaps twice a week will allow the store of sperm to build up. Leaving it any longer won’t help because stored sperm only last a realtively short period.+ And the most difficult one of all relax. Stress and tension seriously harm sperm production levels+ The vitamin and mineral supplements you mention may indeed help and certainly won’t do any harm

  • vijay reddy

    plz tell me how 2 improve sperm count…?

    • EUGIN

      Dear Vijay,
      Thank you for your inquiry.
      Without knowing more details about your case, we are pleased to inform you that in order to improve semen quality there are treatments with antioxidant-based food supplements that your doctor can advise you on and which you can find in any chemist’s. 
      You need to follow this treatment for 3-6 months and to repeat the semen analysis results (in the event that you have already undergone any) in order to check whether there has been some improvement. On the other hand, it is important to avoid a sedentary lifestyle and tobacco (if you smoke).

      In the event of not achieving an improvement and depending on the case, one could resort to the technique of in vitro fertilization with ICSI for which only a single sperm would be needed to inseminate each egg.
      Finally, in the event of there being no sperm in the semen sample, it would be possible to try to obtain them by means of a testicular biopsy.

      We hope this answers your question and we shall remain at your disposal to answer any other doubts you may have.
      Kind regards from the Eugin team

      Dr. Marta Trullenque
      Specialist in Assisted Reproduction at Eugin Clinic

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