Testes are compulsory for better treatment of unhealthy body. A complete history and physical examination of both partners is essential. These tests can give you invaluable insights into understanding what is going on in your body at the moment and can tell you what vitamin and mineral deficiencies and heavy toxic metal excesses you may have. They can explain now what action you need to take. This is also designed to help prevent these problems from recurring in the future.
Tests may include
- Mineral Analysis Test with Supplement and Nutritional Assessment Programme
- Female Hormone Test
- Sperm “Count"
- Sperm Morphology (Size, Shape, Appearance)
- Sperm Motility (Movement)
- Chemical and Biochemical Semen Characteristics (pH)
- Computerized (CASA) Analysis Results
- Sperm Penetration Assays (“Hamster" Tests)
- Post Coital Tests and Sperm-Cervical Mucus Interaction
- Sperm Washing and Freezing
- Antisperm Antibodies (Sperm “Allergy")
- Semen analysis
- Hysterosalpingography (HSG)
Mineral Analysis Test with Supplement and Nutritional Assessment Programme – This test measures the deficiency and excess levels of 7 different minerals and 5 heavy toxic metals that may be present in your body.
Female Hormone Test – Several saliva samples are collected over one cycle. When analyzed, the levels of your oestrogen and progesterone hormones are mapped for that month to determine whether they are in balance or not. After three months you would then have a re-test in order to monitor your progress and adjust your supplement programme according to your new condition.
Sperm Counts – A general sperm count as part of a fertility evaluation should include the total density or count (20 million per ml or above), and the motile density (8 million per ml or higher). The motile density is perhaps the most important part of the semen analysis. This value is essential in both allowing a determination regarding whether or not a semen analysis is “normal", as well as in providing prognostic information should advanced reproductive medical assistance be required.
Sperm Morphology (Shape and Appearance) – The evaluation of sperm size, shape and appearance characteristics should be assessed by carefully observing a stained sperm sample under the microscope. Several methods of staining sperm are used, and the method employed should be one with which the examiner is comfortable and experienced. Several different shapes or forms of human sperm have been identified and characterized. These forms fall into one of four main categories: normal forms, abnormal head, abnormal tail and immature germ cells (IGC).
Sperm “Motility" (Movement) – Sperm motility studies identify the number of motile (moving) sperm seen in an ejaculate specimen. It is well known that sperm motility is a temperature dependent sperm function, so the handling and processing of specimens is critical. Many laboratories consider “normal" sperm motility to be 60% or greater. Our own studies, in agreement with many others have found men with 40% or greater sperm motility to be “normal".
Chemical and Biochemical Semen Characteristics (pH) – The pH of normal semen is slightly alkaline ranging from 7.2 to 7.8. Prostatic secretions are acidic while the pH of semen has not been generally found to have a major influence on a man"s fertility potential. Semen is normally translucent or whitish-gray opalescent in color. Blood found in semen (hematospermia) can color the semen pink to bright red to brownish red. Semen is normally produced as a coagulum.
Computer Assisted Semen Analysis (CASA) – Generally, sperm are “looked" at by a computerized digitizing tablet through a microscope. The computer has been “taught" by the laboratory personnel what sperm look like, and how they move. When the computer then “sees" a sperm under the microscope, it is able to draw a digitized picture of each individual sperm, including the speed and path this sperm takes while moving under the microscope.
Sperm Penetration Assays (SPA, “Hamster Tests") – in this test, the species specific barrier to penetration (not fertilization) is removed from the ova (eggs) of the hamster. These oocytes are then exposed to prepared sperm from the man being tested. It should be noted that most men that fail the hamster test, are able to achieve normal fertilization with ICSI.
Post-Coital Testing – The postcoital test (also known as the Huhner test or the Sims-Huhner test) is a valuable office test that should be carried out in selected patients early in their infertility evaluation. It’s a very popular and widely used test. Simply, the postcoital (after intercourse) test evaluates the women"s cervical mucus at the time of ovulation and how the mucus interacts with her husband"s sperm as ovulation is about to occur. A favorable result would find many sperm in thin watery mucus, with good forward, active motion through the mucus.
Sperm Washing and Freezing – Sperm “washing" techniques have been applied to treat a wide variety of sperm and semen disorders, as well as to prepare “normal" sperm for intrauterine insemination in the treatment of some female disorders. An ejaculate is not a sterile specimen and may contain both aerobic (oxygen dependednt) and anaerobic bacteria. In addition cellular debris from the vas deferens, the prostate, the seminal vesicles and the urethra may be present. All of these components are “washed" from the specimen in the sperm wash procedure.
Antisperm Antibodies – Sperm antibodies are detectable in either the male or female partner in approximately 10% of infertile couples. While these antibodies may be present, they may not be ultimately implicated as the cause of the infertility. Antisperm antibody testing is complex, as at least three different antibodies can have a damaging effect on sperm. Each of these antibodies must be specifically looked for in the investigation of the male and female.
Hysterosalpingography (HSG) – an x-ray procedure done with contrast dye that looks at the route of sperm from the cervix through the uterus and fallopian tubes.