Semen Analysis: The semen sample is used to determine whether the male is fertile. This requries a masturbation specimen collected in a sterile container obtained from the laboratory.
Morphology: This test is detailed evaluation of sperm structure and is not done by most labs. In our lab it is the best predictor for sperm function. Even if a semen analysis has been done elsewhere, we may request a repeat in our lab.
Diagnostic Semen Wash: This laboratory procedure accomplishes an extraction of the sperm out of the semen with re-suspension of the sperm in another solution. This diagnostic test is necessary for all IVF and GIFT procedures as well as for other selected indications. It involves a 1 or 2 day scheduling with the lab, collection of the specimen into a sterile container.
Studies: When a male factor problem is not explained by the above studies, hormone evaluations are frequently done. This can include LH, FSH, testosterone, prolactin, and thyroid studies.
Post-Coital Test (PCT): Evaluates the sperm present in cervical mucous after intercourse for motility, quantity and survivability.
Antibody Testing: If there is evidence of clumping of sperm on semen analysis or if no sperm is seen on PCT, the semen is evaluated for antisperm antibodies.
Biopsy: Patients with azoospermia may wish to consider testicular biopsy with cryopreservation of any obtained sperm.