Male Testing
Semen Analysis
Most men will initially be diagnosed with a potential male factor problem based on the results of an ejaculated sperm specimen. Values tested in the Sperm Analysis, as defined by the World Health Organization (WHO), include:
Morphology
An parameter in the Semen Analysis is the morphology, or shape of the sperm. The shape of the sperm is a reflection of proper sperm development in the testicle, or spermatogenesis. Men with a defect in sperm maturation tend to have problems with sperm morphology and may then be at risk for failure of their sperm to fertilize their partner’s eggs.
Urologic Examination
Once an abnormal finding on a Semen Analysis is identified, the male partner should be referred to an urologist for an examination and a review of his medical history. Usually a repeat Semen Analysis will be recommended by the urologist, as there is significant variability from specimen to specimen. The urologist will usually want to examine a urine sample to rule out infection or evidence of kidney or bladder problems.
If the size of the testicles is less than expected, the male will be tested for hormone levels, and he will also be examined to see if he might have a varicocele, a set of dilated veins in the scrotum that is associated with infertility. If a blockage of the sperm collection or transport system anatomy is suspected, additional tests may be recommended.
Semen Analysis FAQs
Yes, our office has a private collection room available by appointment only. Your wife or significant other can accompany you into the room.
Yes, you will need to call 515-222-3060, option 2 (when prompted) to schedule an appointment for semen analysis or insemination. If you plan to collect your sample in our office we need to know this information at the time of scheduling your appointment. If you do not reserve the collection room, we will assume you are collecting the semen sample at home. All samples must be dropped off by the male patient, we are required to have you sign in the sample and verify your identity.
*All specimens must be delivered by the male partner. Specimens will be discarded if delivered by someone other than the name on the label.
*Specimens will be discarded if delivered by someone other than the name on the label.
NOTE: Our clinic does not accept sperm if our staff did not place the order.
Male Hormone Testing
Hormones produced by the pituitary gland, hypothalamus, and testicles play a key role in sexual development and sperm production. Abnormalities in other hormonal or organ systems might also contribute to infertility. In the event that sperm counts are low, a blood test may be performed to measure testosterone and other hormone levels.