In fertility treatment the male is most often ignored and not assessed, only being asked to provide a semen sample for IVF treatment without being assessed. Assessment of the male partner by a specialist is extremely important because up to 7% of men have fertility problems and a male factor is present in 50% of couples seeking fertility treatment.
Male partner assessment by a specialist will allow:
- Treatment of some conditions to allow the couple to conceive naturally
- Diagnose diseases that in addition to causing infertility would have a serious negative impact on the male partner’s health such as hormonal problems and testis cancer.
- Diagnose genetic disorders that in addition to causing infertility may cause birth defects in the offspring.
- Improve success rate of IVF treatment.
- Downgrade fertility treatment for example by improving semen parameters the couple may have artificial insemination instead of IVF
Sperm DNA fragmentation tests look at the way that the DNA (the genetic code) is packed within sperm cells. The value of using sperm DNA fragmentation for all fertility patientshas been debated. However, research suggests that men with high sperm DNA fragmentation would not benefit from simple treatments like IUI and should be therefore fast-tracked to IVF/ICSI.