Level 1- Check semen first
Physical examination and analysis of semen sample is the first step for diagnosis. This will be done in our andrology laboratory.
Level2 – Hormone assessment
A simple blood test will indicate levels of the key sex hormones such as Follicle stimulating hormone (FSH) and Luteinizing hormone (LH). Result falling either side of the expected range indicate hormonal imbalance and the treatment of hormonal imbalance is by hormone – replacement drugs.
Level 3- Physical examination
includes further tests like scanning, biopsy and genetic tests. These tests are performed to analyze the following conditions:
30 % of the cause of male infertility is due to the effects of varicocele which is an enlargement of veins in the testicular area. Varicocele can cause decreased sperm production and quality and can be discovered during a fertility evaluation and physical examination.
If there is sperm in the epididymis, MESA (microsurgical epididymal sperm aspiration) is THE preferred sperm retrieval method. Under local anesthesia, a small incision is made in the scrotum. A micro puncture pipette quickly and accurately punctures the epididymal tubule, and the sperm is aspirated through the pipette. The sperm is examined under a microscope for viability, and the incision is closed.
For men with little or no sperm in the epididymis, or if there is no epididymis, sperm can be retrieved directly from the testicles. Performed under local anesthesia, a sliver of testicular tissue is micro dissected under an operating microscope.
Schedule an Appointment
To Find out if sperm retrieval may be an Option for you call us at (021) 50200800. We will be happy to answer any questions you might have regarding sperm retrieval or anything else, and can quickly schedule a consultation for you with our fertility specialists.
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