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Male Fertility Treatment

Did you know? 1 in 4 men under the age of 40 years suffer from Erectile dysfunction

STAGE 1 – ANAMNESIS and PHYSICAL EXAMINATION

The history and physical examination are the first diagnostic steps for mothers and fathers who are planning to carry out a pregnancy program at Bocah Indonesia. The doctor will ask for a history related to fertility, as well as perform a physical examination to assess the condition of the father and mother’s reproductive health.

STAGE 2 - SEEM TESTING

Semen testing or semen analysis is the basic test needed to determine the father’s fertility potential. In addition to basic semen analysis, several further tests, such as sperm DNA fragmentation, sperm attachment test, and oocyte (hemi-zone assay) can also be performed as indicated.

STAGE 3 - HORMONE CHECK

A simple blood test will show levels of hormones that regulate reproductive function such as follicle stimulating hormone (FSH) and luteinizing hormone (LH) testosterone and estradiol. In special conditions, the doctor will recommend additional hormone tests, such as thyroid hormone and prolactin, which also play a role in influencing reproductive function.

STAGE 4 – ADVANCED CHECK

Further examination is needed to find out the causes of male infertility in more depth. Several investigations will be carried out such as radiological examination (ultrasound of the scrotum and prostate), and genetic testing (karyotyping and microdeletion of the Y chromosome). In conditions of severe infertility, such as the absence of sperm in the semen, it is necessary to search for sperm from the testes and epididymis, through the PESA, TESA, or mikroTESE procedures.

PESA

Percutaneous Epididymal Sperm Aspiration does not require surgery but uses a small needle to penetrate the epididymis. This technique can be used as the most effective first approach to collecting sperm when there is a blockage in the sperm duct. The results of the sperm obtained from the PESA procedure can be used in the IVF process.

MicroTESE

MicroTESE (Microdissection Testicular Sperm Extraction) was performed in the case of men who had problems with sperm production and the semen analysis showed azoospermia. This procedure is performed under general anesthesia and surgery using a microscope. During the procedure, a small incision will be made in the testicle to evaluate the tubules that contain sperm. If the microTESE results only get young sperm, then ROSI ( round spermatid injection ) can be done during the IVF program.

TESA

Testicular Sperm Aspiration (TESA) is performed if no sperm is found from PESA procedure. This procedure is performed under local anesthesia followed by a needle injection directly into the testicular tissue. After the TESA procedure, the sperm obtained can be stored for preparation for IVF.

SCHEDULE AN APPOINTMENT

If you have been trying to conceive for twelve months or more without success (or six months if mom’s age is over 35) we recommend a fertility assessment with our fertility specialists.

To make an appointment please call us at (021) 50200800

or fill this Appointment Form