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Male Factor Infertility

Contrary to popular belief, infertility affects men and women equally. In almost 50 percent of couples, the disorder is discovered in the woman, while in another 40 percent, it is found in the male partner. In 20 percent of cases, there are combinations of problems between both parties. Infertility attributed to the male partner is called “male factor infertility.”

Sperm DNA Quality Test

Recent published studies suggest high levels of sperm DNA damage is linked with reduced conception rates (particularly in IUI) and higher risk of miscarriage. Even if your semen parameters are normal, the quality of your sperm DNA may still be poor. The SCSA test measures the percentage of sperm cells with high levels of DNA fragmentation and appropriate treatment recommended before undertaking your cycle. Below are links to learn more: www.scsadiagnostics.com/fertilix  

The Abington Fertilix Program!

New hope for overcoming male infertility 

Have you been diagnosed with unexplained infertility or longing to understand why your current treatment plan isn’t making your dream of parenthood come true? Contact us at 215-887-2010 and ask for the new Cap-Score Test to determine, and better analyze male factor infertility. We are offering this test free of charge to you.

You may also contact CAP-SCORE directly to learn more:  
Alana Simpson - asimpson@androvialife.com or call 201-317-0960.  Watch video here

Male Infertility Specialist Dr. Steven J. Hirshberg

Abington Reproductive Medicine is closely associated with Steven J. Hirshberg, M.D., the Director of Male Infertility Services at Abington IVF and Genetics, Toll Center for Reproductive Sciences. Dr. Hirshberg, who is one of only a few fellowship-trained reproductive urologist in the Delaware Valley.  He is one of the region’s foremost experts in diagnosing and treating cases of male factor infertility.

What causes male factor infertility?

Azoospermia (complete absence of sperm) and oligospermia (few sperm cells produced) are two of the most common causes of male factor infertility. Other causes include malformed sperm cells or sperm cells that die before they reach the egg. In rare cases, male factor infertility can be attributed to a genetic disease or chromosomal abnormality.

Other reasons for male infertility include congenital absence of the vas deferens that transport sperm for ejaculation; cryptorchidism or hidden testicles, which also is congenital; varicoceles, enlarged varicose veins in the scrotum that prevent normal function; and a previous vasectomy. 

How is male factor infertility diagnosed?

After taking a careful history and physical exam, we perform a semen analysis on a specimen provided by the male partner. The specimen is evaluated by a Computer-Aided Semen Analyzer (CASA), a state-of-the-art machine that tests sperm volume, count, motility (the percentage of sperm moving), morphology (the shape of the sperm) and forward progression. The machine also can detect the presence of bacteria and calculate a patient’s white blood cell count.

When indicated, we also may test for sperm penetration, sperm-egg membrane binding and antisperm antibodies in both the male and female. A postcoital test, which measures the progress of the sperm in the female’s cervical mucus, may be ordered as well.

How is male factor infertility treated?

Treatment will depend on the nature and cause of the patient’s infertility issue and is often based on his age, overall health, medical history, medication tolerance and personal preferences. Some of the more common treatment options include artificial (intrauterine) insemination, in vitro fertilization (IVF), gamete intra-fallopian transfer (GIFT), intracytoplasmic sperm injection (ICSI), drug therapy and surgery.