In infertility, there is a male factor that can account for up to 50%.
- Nafiye Yılmaz

- Jul 26, 2023
- 2 min read
🌸 "Today, I would like to talk to you about male infertility. If a couple is unable to achieve pregnancy despite regular unprotected sexual intercourse within one year, it should be evaluated by a specialist in the field."
As obstetrician-gynecologists ourselves, we would like to emphasize the importance of age, especially among women. If, within 6 months of unprotected sexual intercourse, pregnancy is not achieved, especially for women aged 35 and above, it is essential to consult with a specialist.
When couples come to us, we want to examine not only the woman but also simultaneously her partner, the man. This is because, apart from gynecological reasons, severe male factor infertility can be a contributing factor, accounting for about 50% of cases.
So, what do we look for in men when they come as a couple?
Evaluation by a specialist is crucial, especially considering factors such as physical examination, history of any febrile illness, past ovarian or hernia surgery, smoking habits, alcohol consumption, obesity, the presence of diseases like systemic diabetes, and the use of any medication for other existing conditions that may negatively impact male sexual functions. Therefore, the key is a comprehensive assessment, including medical history and examination, followed by a semen analysis usually performed after 3-5 days of sexual abstinence, providing valuable information on various aspects.
What do we focus on in semen analysis?
In particular, doctors dealing with infertility pay attention to factors such as sperm quantity, acidity, the presence of inflammatory cells (leukocytes), sperm count, motility, and the percentage of normally shaped sperm. Based on these parameters, decisions are made regarding advanced tests, genetic testing, and hormone analyses for men. We also evaluate couples as a whole. If the semen analysis indicates significantly low sperm count, poor motility, and low percentages of normally shaped sperm, we can recommend individualized treatments tailored to each patient's needs.
Moreover, in cases where there is a possibility of not obtaining a sufficient number of sperm for in vitro fertilization procedures through semen analysis, we can complete treatments by obtaining sperm through methods such as aspiration or biopsy from the testicles instead of providing a semen sample. Wishing you all good days ahead.
Thanks... There is always hope.



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