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Male Factor Infertility
Infertility From His Perspective
By Tamar Weiss
The prognosis for these conditions is usually quite good. "Varicoceles can be repaired via outpatient surgery and result in pregnancy in up to 50 percent of couples," says Dr. Sandlow. "Bypass of obstruction can usually result in return of the sperm to the ejaculate (expelled semen), and have pregnancy rates that approach 60 to 65 percent."
Typically when male factor infertility is suspected, a doctor will order a semen analysis. According to the American Academy of Urology, this test is the "most informative test for male infertility." However, it is not completely conclusive, as "there is still some confusion as to what is required for adequate and healthy ejaculate ... and ... semen characteristics are not absolute predictors of sperm function."
Most specialists will require at least three semen samples in order to make an educated judgment about semen quality. The process entails a man ejaculating into a clean, dry container. *Scott, who was instructed to enter a cubicle and fill a plastic cup with semen, was terribly uncomfortable and self-conscious. He left the fertility clinic feeling humiliated. Although such feelings are quite common, he felt particularly degraded.
Most clinics will allow men who have an objection to doing a semen sample by way of self-stimulation to use other methods such as coitus interruptus (where the penis is withdrawn during intercourse) or by using a special perforated condom or one untreated with spermicide. Samples taken at home should be kept at body temperature and delivered to the doctor within one to two hours.
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