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Sperm Tests In India In almost half the cases of subfertility, there is a male contribution to the problem. The initial investigation / tests requires a sample of semen for analysis. This is usually produced at home after abstaining from ejaculation for 2 to 3 days. A shorter time than this will reduce the total number and longer abstinence can lead to a falsely high number of poorly motile (slow swimming) sperms. The sample needs to be delivered to the laboratory within one hour for analysis.
The following are considered a normal result : - Volume : 2-5mlsConcentration : more than 20 million per mlMotility : more than 50% progressively motileForm : more than 30% normal appearanceWhite blood cells : less than 1 million per ml
Causes of Male Infertility The main troubles include : - Idiopathic Abnormal Sperm Count ’Idiopathic’ refers to the fact that no cause for the problem is found. This happens about 75% of the time when there is a male contribution to the infertility...
Physical Abnormalities An absence or blockage in the tube from the testes to the urethra (the vas deferens) is an uncommon cause of male infertility. It may be discovered on a scan if there are no sperms found at all, but it is treatable by surgery...
Genetic Causes Gene problems are unusual, but are more common in men who have very few or no sperms (about 10%). Whilst most gene abnormalities are not overtly apparent, there is concern that one particular type which is associated with infertility (Y-chromosome deletions) may be passed on to male offspring when assisted techniques such as ICSI do result in pregnancy...
Hormone Disorders Once again, a hormone disorder is an unusual cause of male infertility. This is sometimes treatable if the signal from the brain is the problem (gonadotrophin deficiency), but if the testes have stopped working altogether, as happens in around 13% of male infertility, success is unlikely...
Other Factors Men who smoke have a 13-17% ,lower sperm count that those who do not. High alcohol intake can markedly reduce the sperm count and motility, however low and moderate consumption up to normal recommended levels has not been found to lead to problems. Tight fitting clothes and prolonged periods of sitting can lead to a reduction in sperm count through excessive heating of the testes...
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