MALE INFERTILITY & WORK-UP

Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive.

A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.

Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.

One in eight infertile men has a treatable condition, and after treatment, couples can become pregnant naturally.

In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man’s sperm count is very low.

MALE WORK-UP

The entire male work-up is performed along with andrologist.  At the first meeting  the doctor will take a detailed medical history and if required will conduct a general physical examination . This involves examining the genitals and overall condition and asking questions about injuries, surgeries, chronic health problems, sexual practices, and inherited conditions.

SEMEN ANALYSIS

The semen analysis is the cornerstone of the male infertility workup. A specimen is collected by masturbation in the visinity of andrology lab into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). The patient should be abstinent for 2-5 days prior to maximize sperm number and quality. The semen is sent to the laboratory to measure the number of sperm present, check for abnormalities of shape (morphology), and determine motility (movement) issues. Sperm counts can fluctuate from one specimen to the next, so the specialist will conduct several semen analysis tests over a specified timeframe. This is the best way to ensure accurate results.

Additional tests are used to identify the cause of the infertility if the semen analysis and initial examination is normal. These tests include:

  • Scrotal ultrasound – Uses high-frequency sound waves to produce visual images inside the scrotum (testes). This is used to check for a varicocele and other problems of the testicles and support structures.
  • Hormone testing – Hormones are produced by the hypothalamus, pituitary gland, and testicles. Abnormalities of blood hormone levels can contribute to infertility.
  • Post-ejaculation urinalysis – Sperm in the urine indicates that sperm has traveled backward into the bladder instead of out the penis during ejaculation. This condition is known as retrograde ejaculation.
  • Genetic tests – If sperm concentration is low or nil it could be related to a genetic cause. A blood test is used to detect subtle changes in the Y chromosome, inherited syndromes, and congenital problems.
  • Testicular biopsy (PESA/TESA/TESE) – Involves removing samples from the testicle using a needle. This test checks for sperm production. Lack of sperm indicates a blockage or problem with sperm transport.
  • Transrectal ultrasound – To check the prostate gland, a small ultrasound probe is inserted into the rectum. Using sound-wave imaging, the doctor checks for blockages of the tubes that transport semen (seminal vesicles and ejaculatory ducts).

She is not merely a brilliant doctor but she is also a genuine, honest and compassionate human being which is the differentiator between a good doctor and a great one. Strongly recommended.

Shikha Misra

Shikha Misra

4th Avenue

Thanks for Ur love,care n support throughout in my pregnancy. Even I was remembering Ur motherly care at the time of delivery also. U hv been an angel to have me my second child happily n healthily.

Khusboo Arora

Khusboo Arora

12 Main Road

Dr. Shweta Mittal Gupta, a doctor par excellence, a great orator, a wonderful human being and above all my inspiration, my mentor. May God bless her in all her endeavours.

Raman Singla

Raman Singla

23rd Street

Dr.Shweta has been a ray of light in our lives helping us to have the most beautiful gift of life in the form of our baby. Her knowledge and expertise in her field is significant. Apart from being a remarkable gynecologist, she is a wonderful human being supporting her patients with utmost care. I highly recommend Dr.Shweta and her support team.

Swati Shankdhar

Swati Shankdhar

Dr. Shweta Mittal has been really helpful throughout my pregnancy and always there a call away. My sister in law referred me here and I am really satisfied with the care and help she offers. She is really supportive and explains everything nicely whatever we asked her.

Sonam Arya

Sonam Arya

Hi, we are grateful to Dr.Shweta, the whole team works like a good and competent team under the guidance of Dr.Shweta and above all, I always say to her whenever I meet her that “I Love You” my deepest regards to her. I am blessed with a baby girl and wish that one day she will also be Competent, commanding, intelligent and successful like ma’am, thanks to ma’am and every team member.

 Amit Mutreja

 Amit Mutreja

Dr. Shweta Mittal Gupta, a doctor par excellence, a great orator, a wonderful human being and above all my inspiration, my mentor. May God bless her in all her endeavours.

Shubhi Arora

Shubhi Arora

Our journey start from Oct 2018 with Dr shweta Mittal in Sir Ganga Ram hospital. On First met we were get insure that Dr.Shweta Mittal is the only Doctor Who make us happy to get parents. She is very good in nature, soft-spoken, kind hearted person. Now we get a healthy baby by the grace of God and with the bless of Dr Shweta Mittal

Ravi Aggarwal

Ravi Aggarwal

After 6 years of marriage and while we were missing the presence of a child in our life. We were referred by a close friend of us. Who herself was a patient of Dr. Shweta Mittal. Dr. Shweta turned out to be the Angel we were searching for and within 2 months the good news was there.

Balaji Kumar

Balaji Kumar

We had a great experience with Dr. Shweta Mittal Gupta. Her clinical sense, experience and expertise has made us proud parents today. She has guided us very well before and throughtout the pregnancy. Thanks alot ma’m.High regards.

Amit Kumar

Amit Kumar

Shewta Mittal Gupta is a great doctor.She has provided us best treatment.Formulated very good strategy which one was very benefical in long term and in contigency for us.Today we blessed with baby boy just because of Doctor Shewta Mittal Gupta.For us Doctor Shewta Mittal Gupta is the best.She did miracle for us.

Ravi Kumar

Ravi Kumar

Dr Shweta Mittal is a blessing for us, we have met her last year after reading reviews and thats when we figured out that we are in right hands, she listened to us and gave us the comfort we needed. She is very soft spoken and she explains everything in detail where a layman could understand complex procedures of medicine.

DIGVIJAI TRIPATHI

DIGVIJAI TRIPATHI

A very wonderful and an amazing experience I have with my doctor (Dr. Shweta Mittal Gupta) who has given me the best gift of motherhood. Her positive attitude towards the condition of an IVF patient is just unexplainable. Her only word which I had heard from her mouth was (then what)always gave me the positive energy for handling my nine months of pregnancy.

Garima Chhabra

Garima Chhabra

My heartiest and biggest Thanks to Dr Dr shweta mittal ma’am. She vaid for making my journey completely of parenthood. After 7 years of marriage and struggle for parenthood Now I bless to enter motherhood. Just because of Dr shweta mittal ma’am and her advance and Hi_technology I will always be obligated to Dr shweta mittal.

Preeti Khattar

Preeti Khattar

I am very grateful to Dr Shweta Mittal that due to her IVF treatment and guidance, i am now mother of a baby girl. Earlier i was very disappointed but the type of guidance and treatment was given to me by Dr Shweta mittal..this miracle happens. Thankyou vey much doctor.

Shakeel Ahmed

Shakeel Ahmed

Dr. Shweta Mittal Maam is the number one IVF specialist in the country. She is the best most soft spoken out of the world and amazing Doctor of us. I will highly recommend Dr shweta mittal maam to everybody. Thank you so much Dr shweta mittal maam n her ivf team

Kabeer

Kabeer

Today i am very happy i blassed with a baby girl after marriage of 23 year just because of Dr Shweta mittal mam gudience & help.Our journey today complete.She always help in emergency satution she is very good listion .
Once again Thanku very much of Dr shweta Mittal mam & Her IVF team for supporting us every time.

Jeetyendra Negi

Jeetyendra Negi

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