Introduction

Understanding your reproductive health is an important step, whether you’re planning a family, confirming the success of a vasectomy, or simply checking in on your overall well-being. At Dr. Andrew Sun, we provide confidential, accurate, and accessible semen analysis services right here in our clinic, with convenient cash-pay options available.

What is Semen Analysis?

Semen analysis is a fundamental laboratory test that examines the quantity and quality of a man’s sperm and the seminal fluid they are transported in. It’s a cornerstone of male fertility evaluation and provides critical information about reproductive potential.

Why Get a Semen Analysis?

There are several key reasons why men seek semen analysis:

  • Male Infertility Workup: If you and your partner are having difficulty conceiving, a semen analysis is often the first step in evaluating the male factor contribution. It helps identify potential issues with sperm production, function, or transport.
  • Post-Vasectomy Confirmation: After a vasectomy procedure, a semen analysis is essential to confirm that the surgery was successful and that no sperm are present in the ejaculate, ensuring sterility. Usually, this is checked several months after the procedure.

15%

of heterosexual couples are affected by infertility.

30 min

Amount of time after analysis that results are typically available.

Semen Analysis: A Window into Your Overall Health

Interestingly, your semen quality can reflect more than just your fertility. It can also be an indicator of your overall health status. Many common health conditions and lifestyle factors that impact your general well-being can also negatively affect sperm parameters. These include:

Obesity

Diabetes

smoking and tobacco use

Excessive ALcohol consumption

Poor Diet

High Stress Levels

Certain Medications

Environmental toxin exposure

Research shows that these factors can influence sperm count, movement (motility), and shape (morphology). Therefore, a semen analysis can serve as an easy, non-invasive way to check in on how your lifestyle might be impacting not just your fertility, but potentially other aspects of your health. Addressing factors that improve sperm quality often leads to better overall health.

The Process

We aim to make the process straightforward and discreet:

  • Collection: Sample collection instructions will be provided. Typically, collection occurs in a private room at our clinic to ensure sample integrity and timely analysis. If this is not possible, we may be able to accommodate situations where you can produce the sample at home, and the bring it in for analysis.
  • Analysis: Our trained laboratory professionals perform the analysis.
  • Results: Results are typically available within 30 minutes. Often, patients will have the semen analysis performed on the same day as a consultation with Dr. Sun, so you can go over the results immediately.  
  • Payment: We offer a clear, affordable cash-pay price for this service. Please inquire when scheduling.

Why Choose Dr. Andrew Sun for Semen Analysis?

  • Convenience: Local service right here in the DFW Area.
  • Accuracy: Comprehensive analysis performed by experienced professionals.
  • Affordability: Transparent cash-pay pricing available.
  • Confidentiality: Your privacy is respected throughout the process.
  • Health Insight: Gain valuable information about your fertility and potential links to overall health.

Medical Interventions

As we’ve said before, male infertility can add time to the conception process, but isn’t the end of the road and can often be treated by a doctor. Treatment options depend on the cause for infertility. 

  • For example, a varicocele (dilation of veins in the scrotum) can be surgically corrected. This is a common procedure done to restore proper blood flow and health to the testes.
  • Or if a man needs to “undo” his vasectomy, a vasectomy reversal procedure can be done using a special microscope (“microsurgery”). The tubes are reconnected so sperm can again flow to the urethra. This is a highly technical procedure which should be performed by a urologist who specializes in microsurgery and male infertility. The surgery is an outpatient procedure done under anesthesia. 
  • If fertility issues arise because of problems with erections or ejaculation, treatments for sexual dysfunction are available including medication and/or counseling.
  • Sometimes, medications to optimize hormone levels may be necessary to achieve maximal fertility.
  • Infections or inflammation of the genitourinary tract may require anti-inflammatories or antibiotics to treat.
  • Sometimes, advanced blood or semen testing may be necessary to get to the root of the problem.

What if none of that works?

Some parts of our health just aren’t within our control, as frustrating and worrying as that can be. You might be genetically predisposed to certain conditions like maturation arrest (where the sperm just don’t develop fully) that can make it harder to conceive, which means that no amount of alcohol abstention or dietary modification will help. But there are other routes to genetic parenthood, thanks to reproductive technologies: 

Percutaneous Epididymal Sperm Aspiration (PESA): If sperm are not found in the ejaculate, they may be able to be retrieved directly from the epididymis (a structure that sits on top of the testes where sperm grow and mature before being ready to swim!). The simplest form of this involves collecting sperm from the epididymis using a small needle and syringe.

Microscopic Testicular Sperm Extraction (mTESE) is a specialized procedure done with a microscope under anesthesia where a surgeon directly goes into the testis through an incision in the scrotum to extract sperm. This may be necessary if the number of sperm in the ejaculated semen is very, very low or zero.

Intrauterine insemination (IUI) is a procedure where sperm are directly placed in a woman’s uterus around the time of ovulation. These sperm are concentrated and washed thoroughly beforehand. Sperm with higher motility and normal morphology can be specially selected for the procedure. This means that you can still be biologically related to your child, they just won’t be conceived through sex, but this is a route that countless people (heterosexual, lesbian, and transgender couples and single parents by choice) have relied on to grow their families. The total cost of IUI varies depending on insurance coverage and doctor’s fees. Usually it is around $500 – $4,000. Some people may choose to have the procedure done by midwives at home. 

In vitro fertilization (IVF) involves a procedure where eggs are extracted from a woman’s body and combined with a sperm sample in a laboratory dish. This process fertilizes the egg, creating an embryo that is placed right back into the woman’s uterus where, if all goes well, it will implant and grow. Cost is again something to take into consideration for this procedure. One IVF cycle can cost anywhere from $15,000 to $20,000.

Intracytoplasmic sperm injection (ICSI) is yet another treatment option that is part of IVF. Here, a specialized needle isolates and retrieves a single sperm cell from a sample—this helps ensure that the most viable sperm is selected, leaving nothing up to chance. Then, the needle is inserted into the egg’s cytoplasm (the gelatinous outer layer of the cell), and again, the resulting embryo is placed securely in the woman’s uterus. 

These are all options that allow men with male factor infertility to still maintain a biological relationship with their future child, if that remains important in the face of infertility. But of course, there is also the option to use donor sperm in any of these reproductive technologies, if your partner and you are open to it! 

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