First, doctors will request a semen analysis – a test to look at your sperm. You ejaculate into a cup, and your sperm will be analyzed under a microscope. To get the best results, do not ejaculate for two to five days before your visit.
Semen analysis to test male infertility:
Semen analysis is probably the first test you will be asked to perform. Semen is the fluid that is released when a man has an orgasm. Semen carries the sperm in fluids that should nourish and protect it.
Causes of male infertility
Abnormal sperm production or function due to undescended testicles, genetic defects, health problems such as diabetes, or infections such as chlamydia, gonorrhea, mumps or HIV. Enlarged veins in the testes (varicocele) also can affect the quality of sperm.
Low sperm count symptoms might include: Problems with sexual function — for example, low sex drive or difficulty maintaining an erection (erectile dysfunction) Pain, swelling or a lump in the testicle area. Decreased facial or body hair or other signs of a chromosome or hormone abnormality.
Male fertility problems include poor quality sperm, low sperm count or blockages in the tubes of the reproductive system. Treatment options for poor sperm quality include inseminating the man's partner with a concentrated sample of the man's semen and intracytoplasmic sperm injection (ICSI).
While there are some situations in which male infertility can be reversed with medication or surgery, in most cases, assisted reproductive technology (ART; for example, in vitro fertilization or "IVF") is the recommended approach.
Your health care provider will study your sperm volume, count, concentration, movement ("motility"), and structure. The results of the semen analysis tests tells about your ability to conceive (start a pregnancy). Even if the semen test shows low sperm numbers or no sperm, it may not mean you are permanently infertile.
Roughly 15 percent of couples in the United States have trouble conceiving, and over 50 percent of the time, there is a male infertility issue.
In India, the Semen analysis test or sperm count test average cost is between Rs. 70 to Rs. 800.
Men start losing their fertility at age 40.
In a study of more than 1,900 couples, irrespective of the woman's age, IVF attempts involving men 40 or older failed 70 percent more often than IVF attempts involving men younger than 30. Previous theory: Older men produce fewer kids because they get less sex.
Male fertility is not necessarily permanent, and whether it is treatable depends on the underlying cause. If the condition causing the infertility is treatable, your doctor may recommend a combination of treatment methods.
Can you still conceive if you're dealing with male infertility? As long as a man produces some amount of sperm, there's a chance he could get a woman pregnant. In fact, some couples dealing with low sperm counts or abnormal sperm are still able to conceive without any additional interventions.
A hormone imbalance or blockage of sperm movement can cause a lack of sperm. In some cases of infertility, a man produces less sperm than normal. The most common cause of this condition is varicocele, an enlarged vein in the testicle. Varicocele is present in about 40% of men with infertility problems.
The concentration of sperm is what makes the semen cloudy and thick, so if your ejaculate is watery it is possible that you have a low sperm count. This doesn't mean you're infertile (so precautions to prevent pregnancy still need to be taken for couples that don't want to get pregnant).
The main reason fertility decreases with age is because the quality of a woman's eggs declines as she gets older. And, as women are born with all the eggs they will ever have, older women have fewer eggs. The natural aging process also means higher chances of miscarriage and having a child with a genetic condition.
Some at-home tests also check how well sperm can move. For a home sperm test, you collect a semen sample by ejaculating into a small cup. A home sperm test may be appealing because you can do it in the privacy of your own home. Results are often ready within a few minutes.
Certain factors, however, can contribute to a reduction in male ejaculate, including your age, particular medications, or even a surgical procedure you've had. Experts note that low testosterone levels, which affect about 5 million American men, can also result in the release of less semen during ejaculation.
Eat a healthy diet
But did you know it's also linked to semen quality and sperm health? Fruits, vegetables, lean proteins, and whole grains are packed with nutrients, fiber, and antioxidants that may improve sperm count and help them swim better (Salas-Huetos, 2019).
Male fertility generally starts to reduce around age 40 to 45 years when sperm quality decreases. Increasing male age reduces the overall chances of pregnancy and increases time to pregnancy (the number of menstrual cycles it takes to become pregnant) and the risk of miscarriage and fetal death.
Age and sperm
Men younger than 40 have a better chance of fathering a child than those older than 40. The quality of the sperm men produce seems to decline as they get older. Most men make millions of new sperm every day, but men older than 40 have fewer healthy sperm than younger men.
Semen quality and age
According to a study conducted in Israel, a man's sperm is in optimal conditions between the ages of 30-35. And in general, after age 55, sperm quality is found to be at the lowest quality.
The age where a man is most fertile is between 22 and 25 years. It is suggested to have children before the age of 35. After this age, the male fertility begins to worsen. After 35, the sperm might result in pregnancies where mutations can occur.