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Male Infertility Testing Colac

Understanding male fertility is essential to conception.
Male Infertility Specialist
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Why Male Fertility Assessment Is Important

When it comes to conception, both partners play a part, making it valuable to assess the reproductive health of each individual. At Surfcoast Fertility, our local IVF clinic offers caring, patient-centred support to help you understand your fertility and plan a path forward.

Male Infertility Specialist Colac

Male Infertility Explained

Male fertility is often overlooked. Aside from difficulty conceiving, there may not be any other noticeable signs of male fertility issues, meaning it may go undetected until you try to start a family.

In many cases, male infertility may be related to lower sperm counts or reduced sperm motility. This doesn’t mean a couple cannot conceive, but it may contribute to delays in achieving pregnancy.

Potential Causes of Male Infertility

Most often, male infertility is associated with low sperm counts. The causes of this may vary from person to person. For some, it may be genetic, while for others it develops after a trauma or infection in the testes or prostate.

Maldescended testes and hernia surgery are also linked to low sperm counts. In addition to these, environmental factors may also have an impact on male fertility.

Environmental factors that may contribute to male infertility include:

  • Smoking
  • Alcohol consumption
  • Exposure to herbicides
  • Insecticides and volatile agents
  • Obesity
  • Excessive heating of the testes
  • Anabolic steroids
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Male Infertility Treatment Options

There are a range of potential treatment options for male infertility, and the most suitable pathway will depend on the cause, your individual circumstances, and your preferences.
Supporting overall health may assist some men in improving their sperm count. This may include making lifestyle changes and taking male fertility vitamins or antioxidants as part of a broader approach to reproductive health.
PESA, or Percutaneous Epididymal Sperm Aspiration, is a minimally invasive procedure in which a fine needle is used to retrieve sperm directly from the epididymis. This procedure is typically considered for men who have undergone a vasectomy or who have an obstruction that may prevent sperm from appearing in the semen.
During a testicular biopsy, a needle is used to collect sperm directly from the testicle. The procedure is typically performed under general anaesthesia to help minimise discomfort.
Microdissection Testicular Sperm Extraction (micro-TESE) is a surgical procedure used to locate and retrieve sperm directly from within the testicular tissue. It is generally recommended for men with very low or absent sperm production and is performed under general anaesthesia using a microscope to identify areas most likely to contain viable sperm.
In some cases, male fertility concerns may be related to the hypothalamus or pituitary gland. In these situations, hormone treatment may help support sperm production.For men who have previously used testosterone replacement therapy, hormonal treatments may also be an option worth considering.
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Male Infertility: Your Questions Answered

How frequently does male infertility occur?

Yes, male infertility is a common issue. In fact, 30% of fertility issues are due to male factors.

The semen analysis test is the preferred method for assessing male infertility. During this test, scientists evaluate sperm quality, including shape, count, and motility, as well as the possible presence of sperm antibodies.

If the results of the initial test are abnormal, it is advisable to repeat the test. Should abnormal sperm counts be confirmed, additional blood tests may be needed to assess testicular function.

Occasionally, a urologist or andrologist may recommend obtaining a testicular tissue sample for microscopic evaluation.

During a semen analysis, several key areas relating to sperm quality are assessed, including:

  • Volume of the semen sample
  • Sperm count
  • Motility
  • Morphology
  • Sperm antibodies

Anti-sperm antibodies are most commonly linked to a previous vasectomy and may have an influence on fertility outcomes following vasectomy reversal.

Understanding these results helps practitioners assess the chances of conception through treatments such as IVF, IUI, or intracytoplasmic sperm injection (ICSI).

Semen analysis results are generally considered together rather than in isolation, though there is a typical measure for each area assessed.

As a guide, a normal sperm count is generally considered to be 5 million+ sperm/ml. For sperm motility, a normal value is typically 40%+ motile, with 32%+ demonstrating good, progressive movement.

Another important factor is sperm morphology, which relates to the shape and size of sperm. Generally speaking, greater than 4% normal sperm forms is regarded as being within the average range.

Finally, the test may also detect sperm antibodies in the semen or blood. The presence of antibodies affects their ability to move and fertilise eggs.

Alongside a semen analysis test, your fertility doctor will take into account your medical history as part of a comprehensive assessment. Should the findings indicate a need, additional tests and minimally invasive procedures, such as ultrasounds, may be considered and discussed during your consultation.

Research suggests that in a number of cases, sperm may reappear following microsurgical vasectomy reversal. However, elevated sperm antibody levels may sometimes be detected, which may reduce the likelihood of achieving natural conception.

For those within seven years of their vasectomy, a reversal procedure may be worth considering. Beyond this period, a sperm retrieval procedure combined with IVF and ICSI may be the most suitable pathway.

Sperm DNA fragmentation refers to breaks or damage within the DNA of sperm. While all sperm have some level of DNA fragmentation, some men experience higher-than-normal levels, which may impact fertility outcomes. In this situation, antioxidants may also be of benefit.

Where appropriate, a combination of approaches may be explored when reviewing different treatment pathways. Our team will take the time to discuss the available options with you to support treatment planning and work towards improving the likelihood of success.
Should pregnancy be taking longer than anticipated, it may be worth considering seeking support or a fertility test. An assessment may assist in identifying any underlying conditions that could be contributing to the difficulties experienced.
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Discover Your Options With a Fertility Doctor

If you’re finding it difficult to conceive, it may be worth considering a fertility check. At Surfcoast Fertility, we understand that fertility concerns can feel challenging, and we offer compassionate, evidence-based care to support you. Don’t hesitate to reach out to our team with any questions you have or to book an appointment.

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