Center for Male Infertility

Providing Specialized Attention to the Male Fertility Factor

Infertility Isn't Just a Female Problem: The Often Overlook Male Fertility Factor

The Center for Male Infertility at MCRM Fertility is dedicated to analyzing and treating an often-overlooked factor of infertility; that of the male partner. Infertility is a disease of the reproductive system and impacts men and women equally. Recent studies estimate that about 1 in 6 child-bearing aged couples in the United States suffer from infertility. Of these couple, about 25% of the cases involve more than one factor and in approximately 40% of these couples the male partner is the major factor of the infertility.

The causes of male infertility can include:

  • Chromosomal Defects (DNA Fragmentation)
  • Inability of the Sperm to Complete Capacitation (Cap-Score Assay)
  • Varicocele
  • Retrograde Ejaculation
  • Past Infection or Trauma
  • Undescended Testicles
  • Hormonal Imbalances
  • Celiac Disease
  • Environmental Causes (Radiation, Chemicals, Overuse of Saunas/Hot Tubs)
  • Drug Usage
  • Alcohol Usage
  • Smoking
  • Overweight
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Determining Male Factor Infertility

After several months of not being able to conceive or after recurrent pregnancy loss, couples begin asking the question, "Why?" In most situations, evaluation begins simply with the female partner, but investigation should also include the male partner. Evaluating the male fertility factor is quite simple and entails a semen analysis. Typically, male factor is almost always considered to be an evaluation of count and motility---the 'quantitative' factors. The World Health Organization (WHO) states that normal values for these quantitative factors as:

  • Concentration: > 20 million
  • Motility: > 40%
  • Volume: 1.5mL-5 mL

When basic semen analysis (count & motility) values fall outside of the normal values then one is determined to be suffering a male factor of infertility. However, often, the basic testing indicates normal values, and this is regarded as meaning that there is "NO Problem". In such cases, the male partner is usually ruled out as a factor to the couple's infertility struggle. while quantity is important, quality measures are an even more important value and are generally overlooked with a basic semen analaysis.

MCRM Fertility and the utilizes the most cutting-edge techniques available to analyze semen samples in order to discover factors that affect the probability of live birth, the ability to achieve pregnancy and also the ability to maintain pregnancy. These techniques evaluate the qualitative values of the semen, It is helpful to look at genetic issues of sperm that are important for achieving pregnancy. A 'good' sperm is – one that has genetic integrityThe number of sperm is no reflection on quality!

Listen and Learn

On this episode of Focus on Fertility, we discuss the role men can have with fertility issues and the importance of a comprehensive semen analysis.

 

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