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Male fertility testing

Male fertility evaluation primarily involves a semen analysis, commonly known as a sperm test, to assess sperm health and quality. The examination evaluates key parameters, including sperm concentration, motility, morphology (size and shape), and overall sperm quality. Before undergoing a semen analysis, patients are advised to get adequate rest, abstain from ejaculation for at least 2–3 days, and avoid alcohol, smoking, and recreational drugs to help ensure accurate test results.

Causes of Male Infertility

Low Sperm Count or Poor Sperm Quality

This can be due to various factors, including genetic defects, hormonal imbalances, or conditions like varicocele, which is the enlargement of veins within the scrotum.

Blockages in the Reproductive Tract

Conditions such as blockages in the vas deferens or epididymis can prevent sperm from being ejaculated.

Hormonal Imbalances

Infertility screening in our Bangkok clinic can determine whether a patient has low levels of hormones such as testosterone, which can affect sperm production.

Genetic Disorders

Conditions like Klinefelter syndrome, where men have an extra X chromosome, can impact fertility.

Lifestyle Factors

Smoking, excessive alcohol consumption, drug use, obesity, and exposure to environmental toxins can all affect sperm quality and quantity.

Infections

Infections such as epididymitis or sexually transmitted infections (STIs) can cause scarring that blocks sperm passage.

Infertility Checks for Male

The infertility screening process in our Bangkok clinic starts with a detailed review of the patient’s medical history, including previous illnesses, surgeries, and any medications. A physical examination will be conducted, including an assessment of the penis and testicles to check for abnormalities such as varicose veins in the scrotum and evaluate overall physical health.

Semen analysis

is a primary test done to evaluate sperm count, motility, and morphology. This test helps understand the quantity and quality of sperm. The patient will also undergo a hormonal evaluation involving blood tests to check levels of hormones such as testosterone, luteinizing hormone (LH), and follicle stimulating hormone (FSH), which play crucial roles in sperm production.

In cases where genetic factors might be involved

In cases where genetic factors might be involved, tests such as karyotyping or Y chromosome microdeletion may be conducted. Imaging tests such as a scrotal ultrasound may also be needed to detect issues like varicocele or blockages in the reproductive tract.