A lot of married couples in Singapore have experienced difficulties conceiving a child, with fertility issues affecting almost 40% of all newlywed couples who are actively trying for a baby. From these couples experiencing infertility problems, nearly 45% of them are due to factors affecting the men.
According to a recent study, Singapore is facing a male infertility issue, with a steady increase in the number of cases year after year. The exact reasons for this spike are unknown, but many doctors speculate that this could be due to more couples willing to undergo fertility screening and thus increasing the number of male infertility cases that are reported.
Nevertheless, for many couples that experience these issues, the next logical step is to undergo a fertility screening. Usually, in a fertility screening, a lot of the tests are focused on the wife, but a man also has to undergo some critical tests of his own. A man can get these tests done at a men’s clinic in Singapore, such as here in DB Medical. For you to better understand male infertility and male fertility tests, I have written this article for you.
What causes male infertility?
There are two reasons for male infertility:
- The man has a problem in producing healthy sperm.
- The man has a problem delivering his sperm to the woman’s egg cell.
It is vital that a man is not only able to produce sperm regularly but that the sperm being produced should also be healthy. If the man has weak or low-quality sperm, they may have a hard time reaching the woman’s egg cell and may not be able to survive the journey. Another issue with sperm production is when the man has a low sperm count. The more sperm produced, the greater the chance that one of them fertilizes an egg cell. A man’s testosterone levels are a significant factor that can affect the production of healthy sperm.
For problems in sperm delivery, one of the biggest factors is if he suffers from erectile dysfunction, which affects a significant percentage of men globally. Erectile dysfunction can also affect a man’s self-esteem, which can affect a couple’s sexual activity. Another possible reason for sperm delivery problems is if there are some blockages on a man’s sperm ducts, which would mean that the sperm cells are unable to leave the testicles.
There is a multitude of reasons that can cause male infertility, and the exact cause must be determined so that appropriate treatment can be administered.
What tests can a man expect from a fertility screening?
- Medical and Sexual History Consultation
Before any tests are done, the doctor will first ask about you and your wife’s medical history. You should also expect some intimate questions may be asked, so it is best that you prepare yourself and your wife regarding this matter. Some questions may include:
- How long have you been married?
- In which times have you tried to conceive a child?
- How frequently do you engage in sexual intercourse?
Be honest in sharing this information because us doctors need to have an accurate diagnosis of your infertility issues.
- Semen Analysis
After the medical history consultation, you and your wife will be asked to undergo a series of tests regarding your reproductive health. In your case, you will be asked to undergo a semen analysis, wherein you will have to submit a sample of your semen to the clinic.
Before the collection of the semen sample, men are advised to have 2 to 7 days of abstinence. The semen sample must be fresh and can be collected in the clinic or at home through masturbation. This sample must then be sent to the laboratory within 1 hour after production.
The semen will then be analyzed in the laboratory to determine the sperm count, sperm structure and sperm motility. These data will give clarity on the sperm production and sperm delivery capabilities of the man.
What happens after the fertility screening?
The results of the fertility screening will be analyzed by the doctor to determine if a fertility problem is indeed present. Depending on the diagnosis, your problem may or may not be able to be corrected. For example, in the case of a low sperm count, I usually recommend medication or therapy to increase your sperm production. Other possible solutions include intrauterine insemination and ovulation stimulation.
If the presented solutions are ineffective, there is the option of in-vitro fertilization (IVF) for the couple to be able to conceive a child. IVF is particularly expensive, but sometimes it is the only option left for some couples to be able to conceive a child.
In Singapore, many couples who have undergone fertility screening have gone on to have children. Whether it’s due to therapy, medication or through IVF, being able to successfully conceive a child starts with fertility screening. Get you and your wife tested as early as possible to avoid problems in the future.
DB Medical: Women’s & Men’s Health Clinic
290 Orchard Rd, #14-10 Paragon Medical Centre,
+65 6733 7122