fertility basics

Male infertility - Diagnostic tests to detect male infertility

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Diagnostic tests to detect male infertility includes CBC test, ESR test, Blood Sugar test, VDRL test, and Hepatitis test. These medical tests are essential to perform semen analysis, sperm morphology, semen quality, and sperm count. Diagnostic tests offer results based on which male infertility treatments are performed.

If couples are facing issues in conceiving even after one year of having unprotected intercourse might have higher chances of infertility problems. Above everything, one should know that infertility is not all about just women. Men too can have infertility issues. When a couple is facing a hard time in getting pregnant or conceiving then it is just likely to be caused by a problem with a man’s fertility as it is with a woman’s fertility. Fertility can be the issue with both men and women, what you have to do is go for the diagnostics for infertility.

Infertility, Male Infertility

40% of male infertility problems are due to the problem with the man than a woman. So, it is important that both the man and the woman should go for the infertility tests. If you are ignoring your male infertilityissues for a long time, you should get yourself medically tested. Fertility is a big concern and you need diagnostics for infertility.

The list of infertility tests provided below are the medical tests which are common for the men and women:

These basic tests include:

  • Complete Blood Count (CBC)
  • Erythrocyte Sedimentation Rate (ESR)
  • Blood Sugar – Fasting and PP
  • Vitamin B12, Vitamin D3
  • Syphilis (VDRL)
  • Hepatitis HBsAg

Male Infertility problems arise mainly because of the low sperm count in men. To get your sperm checked, you’ll need to get your semen analysis tested. You should know that semen is the sperm that contains fluid that is released when you ejaculate. 

1- Semen Analysis:

Semen analysis is basically done to medically check the sperm count and quality of the sperm. For the positive test typically 1.5 and 5.5 milliliters (mL) of semen is required generally. The semen analysis is generally done to check the sperm count and quality of the sperm. 

2- Sperm count:

Sperm count is measured in ‘sperm per milliliter of semen.’ This is the count of 20 million sperms or greater then this is considered to be normal for men to be fertile. The lower range of sperm count may tell that you are infertile. 

Fertility, Infertility

3- Sperm quality:

Sperm quality usually measures that is based on two parameters: mobility and quality of sperms. Sperm mobility is the percentage of sperms that are actively in the sample. They are also marked on the basis of speed on which they travel and also the sperm's direction of movement. In the analysis, if 50% or more sperms are found to be motile even after one hour of obtaining the sperm sample, the results are considered to be normal. Sperms should be moving with a good speed that is called motility, and that too forward in a straight line. If 50% or less numb of sperms are found to be non-motile, then a sperm viability medical test is done, where a colored dye or stain is used to identify the dead sperms if available.

4- Sperm morphology:

The structure, shape, size, and appearance of sperms is also observed. Abnormal sperms may have defective heads, immature forms, and midsections. Over 14% of sperms should have normal heads. In the semen analysis, semen should have pH between 7.2 and 7.8. 

5- Semen Culture:

A semen culture is a medical test that is done to check with the contamination of the fluid with harmful pathogens available. If it is found that semen is infected with bacteria, it may affect semen quality and the sperms, the medications need to be done. If it comes positive then may indicate urinary tract infection.

Get a complete guide to Normal Sperm Count for Pregnancy. If your sperm count is not within the range, then explore the tips to increase sperm count and hence boost your fertility.

Dr. Sohani Verma

About The Author

Infertility Specialist Dr. Sohani Verma
Delhi

Dr. Sohani Verma is an infertility specialist, gynecologist and obstetrician specializing in Infertility treatments like IUI, IVF, Endometriosis treatment and Menopausal problems treatment. She completed MBBS from Jabalpur University in 1976 and then pursued MRCOG from Royal College of Obstetricians and Gynecologists, United Kingdom in 1983. She has also pursued FRCOG, FICOG, FIMSA, PGDMLS, PGDHHM, FMAS. Dr. Sohani has treated several patients with different types of health problems successfully and helped them achieve the desired results. Dr. Sohani is presently practicing at Indraprastha Apollo Hospital, Sarita Vihar, Delhi.

5 Comments

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Kushal Verma

My sperm count was 40 million per ml as I used home semen tests kit. Do these results mean I am fertile?

Oct. 2, 2018, 5:20 p.m. 4.5

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Shudhir Palak

In many places, physical examination of the penis, scrotum, and prostate is done to identify men infertility. It's best to diagnose any problem in men.

Aug. 11, 2018, 8:15 p.m. 4.5

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Aditi Singh

My question is how does age affect sperm morphology and what are the different ways in which it contributes to male infertility?

Aug. 21, 2017, 2:39 p.m. 4.5

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Manmeet Sharma

Checking family history is also one of the diagnostics for infertility. This includes asking questions about any inherited conditions, chronic health problems, illnesses, injuries or surgeries that could affect fertility. Your doctor might also ask about your sexual habits and even about your sex...

Aug. 21, 2017, 2:35 p.m. 5.0

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Shrabani Saha

Male infertility is counted by sperm count. Have read somewhere regarding the estimation that 1 in 20 men has some kind of fertility problems with low numbers of sperm in his ejaculate. However, only about 1 in every 100 men has no sperm in his ejaculate.

Aug. 21, 2017, 1:09 p.m. 5.0

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