Friday, August 31, 2007

Reduce Male Infertility: GETTING AN INITIAL EVALUATION

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Two properly performed semen analysis. A semen analysis is the single most important laboratory test. It helps to determine how severe the Male

Infertility
factor is. This test needs to be performed at least twice to confirm a diagnosis.
How is semen collected?
Your doctor should provide you with standard instructions for semen collection. In most cases a 2-3 day period of abstinence prior to collecting the semen

specimen is recommended . semen can be collected either at home or at the laboratory.

What is measured ?
The routine semen analysis provides important information on the volume and acidity of the semen. It also shows the amount of sperm, how fast they move,

and their appearance.
A Male Infertility factor is almost always found by an abnormal semen analysis. In some cases, the semen analysis is normal and other male factors

play a role. The results of the initial evaluation might indicate to your doctor that further tests should be performed to find the cause of your infertility

Who Should Consider a Further Evaluation ?
A more detailed evaluation should be performed by a urologist or other specialist in male reproduction if the initial evaluation reveals an abnormal

reproductive history or an abnormal semen analysis. Further evaluation of the male partner should also be considered in couples in whom there is a treated

female factor and persistent infertility. Couples with unexplained infertility need further evaluation as well. Unexplained infertility is when both partners

have been evaluated , nothing is noted to be abnormal, yet pregnancy does not occur.
Although there are many tests available to measure different factors, not all patients will need all tests. A specialist will be able to determine which tests are

best suited for you.

What Does a Full Evaluation Involve ?
After the initial evaluation is performed, a full evaluation for Male Infertility should include:
A complete medical and reproductive history. This is similar to, but more detailed than, the initial screening evaluation. The doctor may ask you more about

past illness or surgeries, medicines that you are taking, allergies, family reproductive history, and any past infections (such as sexually transmitted diseases)
A physical exam by a urologist or other specialist in male reproduction. In addition to a general physical exam, the specialist will focus on the penis,

epididymis, vas deferens and testicles. The doctor should also examine your body for other secondary sexual characterstics, such as body hair distribution.
In additon, many specialists routinely suggest that a hormonal evaluation be performed. This blood test measures the levels of testosterone and follicle

stimulating hormone in the serum. Other procedures and tests may be suggested based on the results of the full evaluation,including:


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1 comment:

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