Urology

Production of semen samples

Semen samples should be produced via masturbation at the Fertility Center that the analysis could take place immediately after production. However, if you feel you are unable to produce a sample on-site, please speak to one of our laboratory staff to discuss alternative arrangements.

Please make sure that you do not ejaculate for 3 days straight prior to producing a semen sample for analysis. This is important as it will ensure that the sample you produce on the day is at its optimum in terms of numbers and quality.

Results

The results of your semen analysis will be available after three days and will be discussed with you by your consultant. We do not give out results out over the telephone, although you may request a written report.

The Analysis

The following will be assessed during the semen analysis: the number of sperm present within the ejaculate (the sperm count); the number of sperm that are moving (the motility); the number of sperm that are normally formed (the morphology) and whether or not there is any infection present within the sample

Male Hormone Assessment

In the case of azoospermia, blood analysis of hormones should be taken. This will tell us if there is either a blockage or no sperm production within the testis. Exceptionally if the levels of testosterone are too low, in the most severe cases hormone replacement therapy will be advised.

Male Infertility

  • Sperm production disorders affecting the quality and/or the quantity of sperm;
  • Anatomical disorders;
  • Other factors such immunological disorders.

Approximately a third of all cases of male infertility can be attributed to immune or endocrine disorders, as well as to a failure of the testes to respond to the hormonal stimulation that triggers sperm production. However, in a great number of cases of male infertility due to inadequate spermatogenesis (sperm production) or sperm defects, the origin of the problem cannot be explained.

Possible procedures:

  • Any evidence of previous surgical scars in the groin or scrotal areas;
  • Assessment of the development of the penis should follow;
  • Careful examination of the testes must take place, including a measurement of their size and texture.
  • The blood vessels entering the testis at the top of the scrotum should be examined with the patient both lying down and standing up;
  • In a possibility of inflammation of the prostate gland, a rectal examination of the prostate should be undertaken.

 

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