Dosage for men when planning a pregnancy

The birth of a healthy child is the result of a responsible and proper approach by the partners regarding conception. When planning a pregnancy, an examination is necessary not only for the future mother but also for the man, as the male factor of infertility is detected in about 40 to 50% of cases of conception difficulties. The tests allow for the identification of possible disorders of spermatogenesis, hormonal failures, and genetic factors affecting reproductive health. You can find out what type of diagnosis you need to undergo during an appointment with a urologist or andrologist.

What examinations should a man undergo when considering pregnancy with his partner?

When a couple decides to become parents, each partner must undergo an examination to exclude congenital and acquired diseases that may affect conception and the birth of a child.

Mandatory tests before conception:

• General and biochemical blood tests - to detect inflammatory processes and disorders of internal organs;
• General urine analysis - to identify possible infections and kidney problems;
• Determination of blood type and Rh factor - important for compatibility with a partner;
• Infection tests (HIV, syphilis, hepatitis B and C) - to rule out infections that may affect conception and pregnancy;
• PCR examination of urethral secretions - to detect hidden urogenital infections;
• Hormonal tests - to assess testosterone levels and other hormones that affect fertility;
• Examination of prostate secretions - to detect inflammatory diseases of the genitourinary system.

What tests should be done in case of conception problems?

If the couple experiences difficulties in conception for more than 6 to 12 months, the urologist or andrologist prescribes additional examinations.

The diagnosis of male fertility includes

• Semen analysis - analysis of sperm to determine the quantity and quality of spermatozoa, assess their motility and morphology;
• Morphological examination of sperm according to Kruger criteria - analysis of the shape and structure of spermatozoa;
• MAR test - detection of anti-sperm antibodies affecting sperm motility. What is the difference between semen analysis and the MAR test: the main differences can be read in the article.
• ROS test - analysis of oxidative stress of spermatozoa, assessing the level of damage to cells and DNA structure;
• HBA test assesses the maturity of spermatozoa and their ability to attach;
• Sperm DNA fragmentation test determines the percentage of cells with damaged DNA (the higher the rate, the lower the probability of successful conception);
• FISH analysis of sperm - study of genetic anomalies in spermatozoa.

Where to undergo the tests?

A man can undergo these tests and analyses at the clinic "Natuvitro". This is where laboratory tests are performed, including in-depth studies on spermatozoa and hormonal context. A urologist will help interpret the results and, if necessary, prescribe additional examinations or treatments.

Reproductive technologies in case of conception difficulties

If, after diagnosis, factors making natural conception difficult are identified, the couple can consult a reproductive physician at the Natuvitro clinic. The doctor will prescribe a comprehensive examination of both partners and choose an effective treatment. Among the possible options:

• IVF (in vitro fertilization);
• IVF with egg donation;
• IVF with double donation;
• IVF with sperm donation.

Additional methods to increase the chances of successful conception:

Other reproductive techniques can be used in conjunction with IVF:

• IMCI - selection of the best morphologically sperm for fertilization;
• PICSI - selection of mature sperm with high fertility;
• Preimplantation genetic diagnosis (PGD/PGT) - eliminates chromosomal anomalies in embryos and increases the probability of a successful pregnancy.

A comprehensive approach to diagnosis and treatment will help a couple overcome difficulties and fulfill the dream of having a healthy child.