About a third of all infertility cases are due to male fertility issues – these can range from low sperm count or sperm abnormalities to hormonal imbalances or problems related to the reproductive anatomy. Health and lifestyle factors such as stress, weight, and alcohol consumption can also play a role. The good news is that infertility treatment options are available.
If male infertility is determined to be the source of your fertility issues (based on different tests), there are several options to explore, including:
A semen analysis is a test that tells your doctor the number of sperm in your semen, whether they are normal, and how well they move. There are many reasons why couples have trouble achieving pregnancy. A semen analysis is one of the tests your doctor will use to evaluate your problem. Your test results will tell your doctor the number of sperm in your semen (your sperm count), whether they are normal (morphology), and how well they swim (motility).
A low sperm count may be caused by certain medications or a medical problem such as a blocked duct, low testosterone level, or a condition in which sperm back up into the bladder. Fever can also reduce sperm count. Some men may have enough sperm, but their sperm may not swim well enough to reach the egg. Also, sperm that are not normal in shape may not be able to penetrate and fertilize the egg. Your doctor can treat many of these problems.
To make an appointment with the Andrology lab for a Semen Analysis please call 973-656-2823
Your doctor will want you to provide a semen sample. The sample is collected by masturbation at your doctor’s office in a private, comfortable room. You will be asked to collect your semen in a sterile specimen cup. Another option is to collect your semen at home (during intercourse) in a special condom that you can get from your doctor. You must deliver your sample to the doctor’s office within 45 to 60 minutes after collecting it.
Speak with your doctor about instructions for transporting the sample to the office. If the results are not normal or the sample is not complete because you missed the container for sperm collection, this test may need to be repeated. Test results often vary, so you may need to do this procedure more than once.
Intrauterine insemination (IUI) is a type of artificial insemination in which sperm are injected directly into your partner’s uterine cavity near the time of ovulation. Your doctor may recommend IUI to treat many causes of infertility, especially when there is a problem with the sperm such as low sperm count or low motility (the sperm do not move well). IUI bypasses the female cervix, so it is a useful treatment if there is an incompatibility between the sperm and the cervical mucus. IUI is also an option when the man is unable to ejaculate inside the woman’s vagina (because of impotence, premature ejaculation, or other medical conditions). This procedure can be performed with your sperm or with sperm from a donor.
How intrauterine insemination is performed:
You will be asked to provide a semen sample about an hour or two before the scheduled insemination. This is done by masturbating into a sterile container at the doctor’s office. The semen is then “washed” to separate the sperm from the seminal fluid. This must be done before the sperm can be injected into your partner’s uterus, because the seminal fluid contains substances that can irritate her uterus. Sperm “washing” may also improve the ability of the sperm to fertilize the egg.
The insemination takes only a few minutes. Your doctor or nurse will place a speculum inside your partner’s vagina, insert a small catheter through the cervix into your uterine cavity, and inject the sperm through the catheter into the female’s uterus. In most cases, your partner will not feel discomfort during the procedure.
For more information on male infertility treatment options in NJ, please contact us today.