INVESTIGATIONS AND TREATMENT

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Male Infertility Malaysia

Male Infertility Management

Male infertility dampens the probability of his partner getting pregnant in 30-35%. Male infertility can be caused by low sperm production, abnormal sperm function or blockages that prevent the delivery of sperm. Illnesses, injuries, chronic health problems, lifestyle choices and other factors may contribute to male infertility. A detailed Seminal Fluid Analysis (SFA) report is the most optimum method to determine the underlying cause of this condition. The following treatments are available for male infertility at Jaya Balan Gynaecology and Fertility Clinic.

Male Infertility Management

Before screening for fertility, our doctor will be working to understand your past medical history, lifestyle habits, and sexual habits and may make recommendations to improve your chances of getting pregnant. A necessary investigation would be done to help further understanding the causes of infertility in some infertile couples, where no specific cause is found (unexplained infertility).

Investigation to exclude male infertility issues.

Male fertility requires that the testicles produce enough healthy sperm, and that the sperm is ejaculated effectively into the vagina and travels to the egg. Tests for male infertility attempt to determine whether any of these processes are impaired. You may have to undergo a general physical exam, including examination of your genitals. Specific fertility tests may include:

  • Semen Analysis Test: The doctor may ask for one or more semen specimens. Semen is generally obtained by masturbating or by interrupting intercourse and ejaculating your semen into a clean container. Our lab analyzes your semen specimen.
Semen analysis test
  •  Hormone Testing: You may have a blood test done to determine your level of testosterone and other male hormones.
  • Genetic Testing: Genetic testing may be done to determine whether there’s a genetic defect causing infertility.
  • Testicular Biopsy: In select cases, a testicular biopsy may be performed to identify abnormalities contributing to infertility or to retrieve sperm for assisted reproductive techniques, such as IVF.
Doctor Jaya Balan
  • Imaging: In certain situations, imaging studies such as a brain MRI, transrectal or scrotal ultrasound, or a test of the vas deferens (vasography) may be performed.

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Advanced surgical procedures for male infertility investigations and treatments.

1. TESA / PESA MESA

When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anesthetic.

TESA-PESA-MESA diagram
  • TESA: Testicular sperm aspiration. This involves placing a needle attached to a syringe through the skin of the scrotum and simply sucking out the fluid inside the testicle.
  • PESA: Percutaneous epididymal sperm aspiration. This involves the same needle and syringe technique but the needle is placed directly into the epididymis.
  • MESA: Microsurgical epididymal sperm aspiration. An open surgical sperm retrieval procedure that uses an operating microscopy to locate the tubules of the epididymis precisely, so that large numbers of sperm can be extracted.
nfertility investigations and treatments

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