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Assisted Fertility Services

Andrology (male infertility) services

Assisted Fertility Services in Indianapolis, Indiana offers a full range of andrology services for male infertility, including semen analysis, sperm washing for intrauterine insemination procedures, sperm cryopreservation (freezing) and sperm DNA assessment.

Semen/sperm analysis

Semen analysis is one of the first tests physicians generally order as part of an infertility evaluation. Approximately 40 percent of infertile couples have a male factor problem that contributes to their infertility. A semen analysis is a useful screening test that provides information about sperm quality. Factors assessed include sperm count, sperm motility, sperm morphology (whether sperm have a normal shape), and ejaculate volume.

Sperm washing for intrauterine insemination

Semen samples used for intrauterine insemination procedures must be washed before insemination. This is done to separate motile sperm from immotile sperm and other components of the semen sample. The motile sperm are then suspended in a small amount of sterile culture media and used for the insemination procedure.

Sperm cryopreservation (freezing)

There are several situations when men may wish to have sperm preserved for future use, including men who are going to have medical treatments such as chemotherapy that will cause irreversible sterility. Semen samples are frozen in a special solution that protects against damage during the freezing process, and the samples are then stored in liquid nitrogen tanks until needed. Sperm may be frozen for many years and survive thawing. Due to advances in IVF techniques such as intracytoplasmic sperm injection (ICSI), where a single sperm can be used to fertilize an egg in the laboratory, sperm freezing can be considered even in men with poor quality specimens. It is important to note, however, that success with sperm freezing varies from patient to patient.

Sperm DNA assessment

Recent data suggest that some men have damage to the DNA in their sperm. This damage may make it harder for conception to occur, or can lead to a higher rate of pregnancy loss if conception occurs. Sperm samples can be obtained, frozen, and sent to appropriate referral laboratories for DNA analysis.

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