Male Fertility Testing

What is Male Fertility?

Male infertility may be defined as a man’s inability to cause pregnancy in a fertile female partner. In humans, male infertility accounts for nearly 20% of all infertility cases. And in more than 30% of cases, it is the contributing factor. Currently, it affects nearly 8% of all men.

What are the potential causes of male infertility?

There are five major causes of male infertility. These include the following:

1. Ejaculation and Testicular Dysfunction

For a man to produce healthy sperms, his testicles, the production factory, must be healthy. What’s more, the process of ejaculation must be as effective as possible. Generally, there are five major contributors to testicular and ejaculation dysfunction including:

  • Chronic medical conditions, including diabetes, can result in impaired testicular function.
  • Surgical removal of testis due to cancer treatment is also a possible cause.
  • Risky lifestyle behaviours such as smoking, excessive consumption of alcohol, recreational drug consumption, or your use of steroid can potentially impact on both ejaculation and testicular function.
  • Medical treatment procedures such as radiotherapy and chemotherapy that impact on your testicular function.
  • Any condition that affects the testes such as increased temperate of the testicles and trauma can potentially affect both the quality and amount of sperms. Varicocele, a medical condition where the veins that surround your testis become dilated and abnormally large, results in the rise in the surrounding temperature, causing you to produce unhealthy sperms.

2. Pituitary glands and hypothalamus dysfunction

Pituitary glands and hypothalamus are two important organs found in your brain. They function holistically to produce the hormone that regulates testicular function. Some brain tumors can result in abnormal sperm production.

3. Congenital and genetic disorders

Rare inherent medical conditions such as myotonic dystrophic, Klinefelter’s syndrome can potentially lead to your inability to produce sperm or significantly reduce your sperm count. What’s more, congenital conditions such as undescended testes are linked with male infertility.

4. Endocrine disorders

Medical conditions or being exposed to certain medications can potentially lead to abnormal hormonal changes such as the production of excessive testosterone, excessive estrogen, excessive steroid use can result in decreased and abnormal production of sperms.

5. Sexually Transmitted Infections

Studies have revealed that sexually transmitted diseases (STDs) can potentially disrupt male fertility as well. The structures of the male reproductive tract, such as the urethra and the epididymis, can be potentially get damaged through infection caused by recurring or untreated sexually transmitted diseases.

STIs can also damage your testes, and all these scenarios can lead to your inability to produce healthy and functional sperms. You will need to go for a thorough testing for sexually transmitted diseases and seek appropriate treatment if found positive for a particular disease.

Infections such as Gonorrhoea and Chlamydia have been shown to contribute to scarring as well as infertility of a man’s reproductive tract. If you are worried about sexual exposure, you may read more about our screening services here.

What are factors that may contribute to subfertility?

Generally, infertility increases with:

  • Excessive alcohol consumption
  • Use the long-term testosterone medication that is usually used to enhance body muscle mass
  • Use of recreational drugs, including marijuana and steroids
  • Occupational chemical exposures to lead, mercury and pesticides
  • Being obese or having an elevated BMI or body mass index
  • Use of medicines such as ketoconazole, spironolactone, and perhaps cimetidine
  • History of either chemotherapy or radiotherapy
  • Lifestyle behaviours such as the frequent use of the hot bath, steam bath, cooking, and sauna

When should I be concerned?  

If you and your partner have had unprotected intercourse intending to conceive but have been unsuccessful for 6 months to a year, you may want to consider fertility health screening 

Our healthcare professionals will help you to identify any potential underlying cause of the fertility of both of you. 

What should one expect during a fertility health screening procedure?

First and foremost, it is important to note that fertility health screening is usually performed on both partners. This implies that each partner should schedule a separate medical review with their respective doctors to help unearth their medical and fertility problems.  

 After an examination and depending on your condition, your doctor might recommend further tests.  

Subfertility Tests

If you suspect that you may be currently suffering from male infertility, it would be best to seek medical help as soon as possible. You will have to stop smoking and alcohol consumption before you go for a fertility health screening.

Semen Analysis

What is a semen analysis?

This is a test whereby the quality of the sperm is examined based on a myriad of parameters.   

Some parameters include:  

  • The movement of the sperm or known as “motility” 
  • Number of sperm  
  • Morphology or the “shape” of the sperm under microscope  
  • Other factors like pH and Volume of sample

After the sample is collected, it is examined under the microscope and the results will be discussed by your doctor.  

How should I prepare for semen analysis? 

You will have to abstain from ejaculation for three days, but not longer than one week. Semen screening is best done during these dates. The main purpose of this test is to examine both the quality and quantity of the sperm. 

Scrotal Ultrasound Test

What is a scrotal ultrasound test? 

In this analysis, your testicle, as well as its surrounding structures, are examined. This procedure is not only painless but quick and non-invasive. Some potential problems that could be identified during this test include varicocele (swollen veins around your testicles) and hydrocele (fluid around testicles). 

As we previously note, healthy sperms need a fairly cooler body temperature, which is approximately two degrees Celsius below normal body temperature. Swollen veins or the presence of fluid around the testicles generally act like insulation thereby raising the overall temperature around the testicles, leading to poor sperm quality. 

How should I prepare for semen screening analysis?

You will have to abstain from ejaculation for three days, but not longer than one week. Semen screening is best done during these dates. The main purpose of this test is to examine both the quality and quantity of the sperm.

Another highly recommended assessment would be the scrotum ultrasound test. In this analysis, your testicle and its surrounding structures, are examined. This procedure is not only painless but quick and non-invasive. Some potential problems that could be identified during this test include varicocele (swollen veins around your testicles) and hydrocele (fluid around testicles).

As we previously note, healthy sperms need a fairly cooler body temperature, which is approximately two degrees Celsius below normal body temperature. Swollen veins or the presence of fluid around the testicles generally act like insulation thereby raising the overall temperature around the testicles, leading to poor sperm quality.

Before you go for a fertility health screening, you will have to stop smoking and alcohol consumption.

If you suspect that you may be currently suffering from male infertility, it would be best to seek medical intervention as soon as possible. We offer male wellness services in our medical facility with certified medical professionals who are ready to help restore your fertility.

Reach Out To Us!

About The Health Advisory Clinic

Our clinic offers you comprehensive one-stop services that has got you covered from general health, sexual health, men and women’s health to other medical services.

Our Doctor

We approach each patient from a comprehensive model of care and that is why we base our foundation on screening and prevention.

Address/Contact Info

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1 Raffles place, Singapore 048616

Tel: (+65) 6226 6442

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Mon - Fri : 0900 - 1800
Saturday : 0900 - 1400
Sunday & PH : Closed

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