A detailed semen analysis is important for assessing Male Factor Infertility. We follow the WHO 2010 guidelines for Semen Analysis. A detailed examination of the concentration, motility and morphology of sperm is carried out along with biochemical examination of the semen. Emphasis is put on examination for pus cells and immature sperm cells.
The semen sample is processed by washing, centrifugation and migration. A suitable culture medium is used. The final migration step is done under stringent culture conditions using CO2 incubation. The spermatozoa thus obtained are free of debris and bacteria and thus improve the success rates of IUI. Women with ovulatory dysfunction, previously treated endometriosis with patent tubes, luteal phase defects, cervical factor infertility and polycystic ovarian disease can try IUI first before trying more advanced techniques of Assisted Reproduction. Men with slightly compromised semen parameters may benefit from IUI.
We routinely have a back-up semen sample frozen for couples who are undergoing treatment in case of inability to give a sample on the day of the IUI, IVF or ICSI. Men undergoing orchidectomy/cancer treatment prior to radiation and chemotherapy can also avail of our cryopreservation facilities. Those undergoing ICSI are encouraged to freeze their sperm so that we have adequate number of sperm at the time of ICSI. We routinely cryopreserve testicular and epididymal sperm, so that repeated attempts at obtaining fresh epididymal and testicular sperm are avoided.
We have a tie up with a sperm bank for donor semen. This has undergone stringent evaluation. The donors are tested for HIV, Hepatitis B and C and VDRL. The semen quality is ensured by following the WHO criteria. The Cryopreservation Donor Semen Program is in accordance with the guidelines established by the Indian Council for Medical Research (ICMR).
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