Diagnostic Tests - Male

SEMEN ANALYSIS

A semen analysis will be performed to detect if the infertility is due to the male factor. The semen specimen is assessed for volume of ejaculate, motility, concentration and sperm count. Early detection of male factor infertility may influence the further course of testing of the woman, or the male will undergo a more in-depth evaluation of his sperm (sperm wash assessment - see below), while the woman completes her tests. Abstinence of ejaculation must be no less than three days and no more than five days.

A semen analysis is the single most important test in the evaluation of the male.SPERM WASH ASSESSMENT

A sperm wash assessment is a very in-depth evaluation of the sperm. Not only do we look at the basic parameters of the semen specimen, such as volume, motility, concentration and sperm count, we perform a computer analysis (CASA) and a full washing (removing of the seminal fluid) as would be done for an intrauterine insemination. Other tests that may be performed are: Hypo-Osmotic Swelling (HOS), Strict Morphology, Anti-Sperm Antibody (MAR), Acrosome Reaction Scoring, Vital Staining, Sperm Stress Test to name a few. At this time, we are attempting to enhance the motility to the maximum we possibly can. The semen specimen is washed with a special medium that removes the seminal fluid and dead sperm. Only the most healthy, motile sperm are used for insemination. This technique is necessary for all couples undergoing investigation. Please maintain no less than three days of abstinence and no more than five days of abstinence of ejaculation prior to this test.

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Diagnostic Tests - Female