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The semen analysis remains the single most important test in diagnosing a male factor. The semen analysis requires that you provide a semen sample. Preferably, the specimen should be collected in our office by masturbation following a 2 day period of sexual abstinence. Our facility has a private area in which this can be done. If you find that this creates significant anxiety, the specimen can be obtained at home through masturbation or through intercourse using a special condom.
If collected at home, care must be taken to insure that the specimen is not cooled, but rather stays near body temperature. this can be accomplished by keeping the specimen cup close to your skin under your shirt. Also, the specimen must be dropped off at the office within 1 hour of collection.
If an abnormality is noted, you will likely be instructed to repeat the test.
A Semen analysis needs to be scheduled ahead of time (3-4 days) with our lab. To do this simply call (202-741-2516) and they will assist you.
A male fact or results from a problem with the male reproductive system and is seen in roughly 40% of infertility cases. There can be problems with sperm production or with the anatomy or structure of the male’s reproductive organs. Frequently, the cause of the male factor is not identified.
The semen analysis continues as the primary test in assessing the male partner. Abnormalities in semen parameters may signal an underlying medical problem and serve as an indirect measure of the fertilization capacity of the sperm. For proper assessment of sperm parameters, at least 2 semen analyses should be performed, preferably 1 month apart.
Abnormalities in sperm number, movement and shape can lead to a reduction the sperm’s ability to fertilize an egg.
Normally semen is free of antibodies (immune proteins that target cells for destruction). Men with a history of major testicular trauma, prior infection of the reproductive tract or scrotal surgery can begin to make antibodies against their sperm. These antibodies can affect sperm movement or the ability of the sperm to penetrate an egg.
Marked abnormalities in semen parameters may indicate an underlying medical or genetic problem and should be further evaluated. Alternatively, low sperm numbers can result from some medications, exposure to heat (hot tubs or a fever) a hormonal problem, a duct blockage or a swelling of scrotal veins. For these reasons and depending on the severity of the problem, your doctor may recommend further tests or an evaluation by an andrologist (a urologist specializing in male infertility).
