Google értékelés
5.0
4898 értékelés alapján
js_loader

Online Appointment Prescription

Don't want to compromise on reliability, discretion, or empathy when choosing a clinic?

Male fertility evaluation

Budaörs Corvin Pasarét

We talk about infertility when pregnancy does not occur after 1 year of regular sexual activity.

In cases of difficulty conceiving or infertility, 40% of the time the issue is with the male partner, 40% with the female partner, and 20% with both partners. Therefore, it is very important that, even before trying to conceive, the male partner undergoes an evaluation.

Lénárt Karolina

Google review

"I quickly found a suitable appointment online. The clinic was very beautiful, and the staff were super friendly. I received very thorough explanations during the examination. I came with a 1.5-year-old baby, and an assistant immediately helped and played with them to ensure the examination went smoothly!"

Outstanding quality of care

A wide range of
professional services

A medical team that excels
both professionally and personally

A unique, calm,
and comfortable environment

Here are a few questions that you may have already thought about:

Mi lehet a probléma?

The most common issue is a decrease in sperm count or a complete absence of sperm. Additionally, there can be abnormalities in the shape of the sperm or in their movement: they may become slower or exhibit aimless wandering.

The examination is straightforward: it only requires providing a sample (which, let's be honest, is less uncomfortable for a man than a tubal patency test for a woman).

What tests can be performed on the sample?

The most common issue is a decrease in sperm count or a complete absence of sperm. Additionally, there can be abnormalities in the shape of the sperm or in their movement: they may become slower or exhibit aimless wandering.

The examination is straightforward: it only requires providing a sample (which, let's be honest, is less uncomfortable for a man than a tubal patency test for a woman).

What should be considered when providing the sample?

  • The sample should be given after 3-7 days of abstinence, in a sterile specimen container (available at pharmacies). Longer periods of abstinence typically result in more pronounced abnormalities in sperm motility, while shorter periods may lead to inaccurate sperm counts.
  • During the abstinence period, avoid using saunas, taking hot baths, and excessive alcohol consumption.
  • Before providing the sample, it is important to wash your hands and thoroughly clean the genital area.
  • Sample collection is usually done through masturbation, but seeking assistance is not prohibited. However, it is important to ensure that the first portion of the ejaculate is collected in the container, as it contains a significant amount of sperm.
  • Please clearly write your name on the container.
  • Please wrap the container in aluminum foil and, if possible, keep it at body temperature (under a sweater). Deliver it to us within 1-2 hours.

More detailed information on male fertility testing and related issues

During the examination, we first evaluate the macroscopic data of the ejaculate (semen volume, pH, viscosity, color, liquefaction time), and then, through microscopic analysis, we determine the sperm count, motility (movement) characteristics, and morphological (shape) features.

This basic examination is essential for assessing fertility, but often it is not sufficient even if the results are normal, as the biological and biochemical characteristics of the sperm also play a significant role in fertilization beyond these physical properties.

The HBA test is a method used to determine the proportion of mature sperm.

It allows us to estimate the fertilizing potential of the sperm. During the test, a drop of semen is placed on a special slide containing hyaluronic acid, and we observe what percentage of the sperm can bind to the hyaluronic acid. In nature, only mature sperm can bind to the hyaluronic acid in the egg's outer layer, which is necessary for successful fertilization.

After the classic spermiogram (SPG) and the HBA (which shows the sperm’s ability to bind to hyaluronic acid), this is the most important test. In fact, these three tests are desirable to perform in all casesif a couple has not conceived within six months to one year (age-dependent), or immediately after the desire to have children arises, particularly from the age of 40.

Everyone knows that the quality of a woman’s eggs deteriorates with age, which is one reason why it is necessary to screen embryos for Down syndrome and other developmental disorders.

However, fewer people know that men can also have issues with the quality of their genetic material, i.e., DNA.

Certain factors, such as stress, obesity, smoking, inflammation, and older age, can damage the genetic material in sperm, causing the DNA to become fragmented. Unfortunately, this can be the case even if the basic spermiogram (SPG) shows normal values.

The DNA fragmentation test reveals what percentage of sperm have damaged DNA. It's similar to when we used to check the fragmentation of a Windows hard drive and it would display a bar graph. Unfortunately, this doesn’t get fixed with just a push of a button. However!

Fortunately, there are solutions! An andrologist may recommend various medications and antioxidant treatments, and during ART (assisted reproduction) procedures, it is possible to filter the sperm through a special sieve where sperm with damaged DNA are separated from those with healthy DNA, allowing us to work only with the healthy ones afterward.

Who should have this test done and when is it important?

Practically, anyone experiencing fertility issues should have this test done:

  • difficulties conceiving
  • everything was found to be normal on the female side
  • previous tests have not revealed the cause of infertility
  • failed insemination or IVF cycles
  • miscarriages

Evaluation:

The lower the number, the better! :)

  • Below 15% is an excellent value
  • Between 15-20% requires individual assessment
  • Above 20%, definitely consult a reproductive specialist to discuss further treatment options

Immunological testing allows us to detect antibodies against sperm cells in the semen. The presence of these antibodies can hinder sperm from reaching the egg, reducing the chances of fertilization.

With this test, we examine the interaction between cervical mucus and sperm close to the time of ovulation. It is possible that sperm may become immobilized upon contact with vaginal secretions or mucus. In the past, this test was conducted by asking the couple to come quickly to the clinic after intercourse, where a sample was taken from the woman. Fortunately, we have moved beyond that method: today, we separately collect the cervical mucus from the woman, similar to a Pap smear, and the man provides a sperm sample—collected at home using any preferred method after 3-5 days of abstinence, and delivered to the clinic within 1-2 hours. The two samples are then combined under laboratory conditions: a smear is prepared and examined under a microscope to check for motile sperm. If only inactive sperm are observed, the PCT test is positive, indicating an incompatibility.

With us, you can always have one more question!

Kollégáink a vizsgálati tevékenységek széles skálájának szakértői – így biztosítjuk, hogy bármivel is jössz el hozzánk, mindig a lehető legjobb ellátást és a legpontosabb válaszokat kapd!

Bármilyen nemzőképességi panasz esetén, vagy szűrés céljából fordulj hozzánk bizalommal!
Online Appointment

Let our satisfied clients speak for us

Excellent5.0 Based on 4898 reviews from Review us onRobert MolnarRobert Molnar ★★★★★ Pontosan betartott menetrend, kedves csapat, precíz gyógyító munka.Dóra SzekeresDóra Szekeres ★★★★★ Anyajegy eltávolításon jártam Nguyen Melinda doktor nőnél. Azóta keresem az okot miért mehetnék vissza, annyira jó élmény volt ott lenni. 🙂 Elképesztően figyelmes és kedves a doktor nő és a nővér is. Teljesen fájdalommentes, kb 3 perc volt az egész.Lili Fábián-KallaLili Fábián-Kalla ★★★★★ Dr. Héra Anna (traumatudatos szemléletű nőgyógyász) fantasztikusan kedves volt, mindent elmagyarázott, mindenben segített. Az ő javaslatára mentem tovább Dr. Rencz Rita doktornőhöz, aki több alkalommal segített az endokrinológiai vizsgálaton és úgy érzem az ő segítségükkel ráléphettem a gyógyulást útjára. Köszönöm nekik, szívből ajánlom őket!Krisztina MészárosKrisztina Mészáros ★★★★★ Dr. Molnár Violettánál jártam,ragaszkodok hozzá. Kedves,segítőkész,óvatos a vizsgálatok során,minden kérdésre válaszol,ha kell szemlélteti egy eszközön. Nála jobb orvosnál még nem jártam.Evelin CsiszárEvelin Csiszár ★★★★★ Rendkívüli figyelmesség, kedvesség.Elegáns környezet és tisztaság!Csak ajánlani tudom mindenkinek!Bettina BudaiBettina Budai ★★★★★ Teljesen elégedett vagyok! Megváltozott korábban máshol tapasztalt véleményem.Pasaréti rendelőbe járok.Különösen kiemelném Dr. Koroknay Vanda doktornőt!Kedves, empatikus hozzáállás, alapos mindenről részletesen tájékoztat és teljes figyelemmel áll a beteg rendelkezésére .Hálás vagyok!Ildikó Noémi FodorIldikó Noémi Fodor ★★★★★ Everything went perfect. The place, the whole staff is excellent, makes a doctor's appointment something else. Elevates it to another level. Thank you for it.Bernadett CsendesBernadett Csendes ★★★★★ Maximálisan elégedett vagyok!Response from the ownerKöszönjük! Kettrin MucsiKettrin Mucsi ★★★★★ Dr.Benkovics Júlia doktornőt szívből ajánlom!Ágnes NémethÁgnes Németh ★★★★★ Nagyon elégedett voltam, Dr. Bíró Noèmi a legkedvesebb és legempatikusabb nőgyógyász, akinél valaha jártam. Szívből ajánlom mindenkinek!Katalin SlonszkiKatalin Slonszki ★★★★★ Nagyon kedvesek, készségesek, bármikor bármit lehet kérdezni. Mindig tökéletes tisztaság van.Andrea HollAndrea Holl ★★★★★ Nagyon kedvesek, segítőkészek. Maximális tudás és emberség jellemzi az egész klinikát!Köszönöm!Ildikó Dr. KocsisIldikó Dr. Kocsis ★★★★★ Kedves munkatársak.Lívia NagyLívia Nagy ★★★★★ Szép, igényes tiszta környezet. dr.Bíró Noémit szívből ajánlom, nagyon kedves, alapos.Sarah BSarah B ★★★★★ Hangulatos klinika, végtelenül kedves munkatársakkal. Orvosom Dr.Kis Éva volt, akit meleg szívvel ajánlok mindenkinek.Zsuzsa MurányiZsuzsa Murányi ★★★★★ Kedves, figyelmes recepció, asszisztencia, gyors pontos visszajelzés, előző nap telefonos egyeztetés az időpontról.Dr Farkas Eszternél jártunk, aki kedves, figyelmes, alapos vizsgálatot követően minden felmerülő kérdésünkre jól érthető, megnyugtató választ adott.Emma RozgonyiEmma Rozgonyi ★★★★★ Nagyon szeretem, hogy nem kell várni. A doktornők akiknél voltam kedvesek, figyelmesek és minden kérdésre válaszolnak.Henriett PappHenriett Papp ★★★★★ Kb. 2 éve járok az L33-ba és eddig mindig nagyon pozitív tapasztalatokkal távoztam. Kedves személyzet és szuper professzionális orvosok! Dr. Biró Noémit különösen szeretném kiemelném az elhivatottsága és páciens-központú hozzáállása miatt.Dora ZsoldosDora Zsoldos ★★★★★ Kind and precise assistance, outstanding communication, excellent medical service. Absolutely recommended.Marianna SzabónéMarianna Szabóné ★★★★★ Dr Vörös Anna doktornő nagyon kedvesen, pontosan és érthetően adott választ a kérdéseimre. Csak ajánlani tudom mindenkinek. 😊js_loader
L33 Medical