Male Fertility Tests in Long Island

Roughly half of the couples that deal with infertility issues usually do so because of a contributing male infertility factor. For this reason, reproductive specialists must perform a male evaluation to decipher what is causing his infertility, so that they can solve the issue to the best of their ability, administering the proper treatment that he needs.

 

Male Fertility Diagnosis and Testing

A male evaluation includes the diagnosis and testing of male fertility through physical examination, semen analysis, sperm morphology, hormone tests, and reviewing the patient’s medical history.

 

Physical Examination

Once the doctor goes over the male patient’s medical history – gaining a better understanding of any medical problems, prior surgeries, family history and drug, tobacco, or alcohol use – the physical examination will take place. The patient’s blood pressure assessment, height, weight, and body mass will all be recorded. Afterward, a physical examination can be performed to evaluate his testes, spermatic cords, and prostate.

 

Semen Analysis

Commonly referred to as the “sperm test”, a semen analysis isn’t a true measurement of fertility. However, it could suggest the likelihood of males achieving fertility based on sperm motility and sperm concentration. Often if the first semen analysis is abnormal, it’s recommended to repeat a second one to confirm and help decide treatment. Sperm morphology – the evaluation of the shapes of sperm – is also performed. This helps doctors figure out whether or not the sperm can penetrate and fertilize eggs with in vitro fertilization (IVF).

 

Hormonal Tests  

Because there are abnormalities in pituitary-gonadal hormones that can cause infertility, a hormone test may be given to the male patient, providing important information on the state of sperm production. The hormones that are typically evaluated during this test include testosterone, thyroid, prolactin, LH, estradiol, and FSH. A male’s hormone levels should definitely be evaluated and measured if his sperm concentration is less than 10 x 106 sperm/milliliters; he experiences diminished sexual function; or if exams reveal a specific hormonal disorder.

 

Sperm Chromatin Separation Assay DNA Fragmentation

Sperm Chromatin Separation Assay (SCSA) DNA fragmentation can also be performed to determine the structure of sperm chromatin. Fragmented  DNA is found in 5% of infertile men who have a normal semen analysis, and 25% of infertile men with abnormal semen analyses. It’s important to note that causes of DNA fragmentation are usually reversible, and include tobacco use, air pollution, infection, chemotherapy, steroid use, certain medications, and more. Other tests can include Scrotal Doppler ultrasounds, transrectal ultrasounds, CT scans, a pelvic MRI, karyotyping, and Y chromosome analyses.

 

Fertility Tests for Men in New York

If you’re dealing with male infertility, please do not hesitate to request an appointment at one of our four fertility centers in Long Island, NY. Our team of doctors, nurses, and medical assistants have years of experience successfully helping male patients achieve fertility.