What is positive semen for successful IVF: transcript

If the pair will have IVF, the preparation for it requires serious. Both men and women have to do a lot of tests, and hand over the biomaterial, since fertilization will take place outside the mother's body. The woman takes the egg and sperm of a man losing, from which technicians will allocate the most healthy and motile sperm for subsequent fertilization.

Before any sperm necessarily surveyed, semen analysis is done. What are the rules if you have to IVF and whether it is possible to improve the composition of the seminal fluid before the procedure, we will cover in this article.

Spermogram called microscopic and laboratory investigation of the hardware quality of the ejaculate. Prior to in vitro fertilization, this analysis shall always, regardless of the infertility factor. If a barren woman, the doctors need to be sure that the seed biological material husband is in good order.

Feature semen for IVF is that you need to get tested more than once

Sperm - biological material, which is very much susceptible to any external and internal influences.

To lay down more or less objective view of the ability of fertile men, the analysis before IVF is repeated 2-3 times in two weeks.

At this time a woman goes through the preparatory hormonal treatment to stimulate the ovaries.

Even if a man is 100% sure of his health, he does not believe a word - risks are too high.

Hormone therapy, which is exposed to a woman, can not affect on her health, so it's better for everyone if the insemination and embryo implantation will take place as soon as possible.

For the success of IVF has the same importance as the quality of oocytes and the quality of sperm.

It is important to take all the semen prior to the forthcoming procedure of in vitro fertilization in the same clinic, in the same laboratory. The fact that different labs give different estimates due to hardware differences, as well as the approach to standardization. The concept of norms in different clinics may also vary.

Preparation for semen analysis is required. 3-5 days prior to the date should abstain from sex and masturbation. A few days is enough to mature the new cells. However, a more long-term abstinence makes the sperm more dense, and the results of the analysis may be beyond the law.

Man a few weeks before the date of ejaculate should avoid overheating, especially - the scrotum. Two weeks should strictly limit alcohol, preferably - to quit.

Antibiotics, hormonal therapy in preparation for IVF is only appropriate if you plan to insemination of frozen semen or sperm of the donor and the biological material has been tested and ready to use.

Sperm analysis for rent by masturbation in a clinic, or at home with the collection of material in a sterile container. However, renting a clinical setting it is considered more effective, because you need not worry about the shelf life of the ejaculate. Transported to the laboratory seminal fluid necessary during 40-60 minutes. If the material is collected in the clinic, the issue of expedited delivery was withdrawn from the agenda.

Ejaculate in preparation for IVF is estimated on a number of indicators recommended by the World Health Organization (WHO). Let's look at each of them.

Normally, it is desirable to match the volume tablespoon. Speaking dry language medical numbers, the amount should be equal to 1.5-2 ml.

Sperm after ejaculation gradually becomes thinner. Estimated time frame, which takes the process. Normally sperm becomes liquid for 15-55 minutes.

This is a very important parameter in preparation for IVF. If the acidity is lower than normal, the sperm almost lose the ability to dissolve the egg shell and get inside. As with IVF, this process takes place, though not in the mother's body, but still alone on the acidity level pay special attention. Normally, it is equal to 7.2-7.7.

High precision laboratory equipment counts the number of spermatozoa in the total ejaculate and 1 milliliter of semen. Normally, cells should be at least 15-20 million per 1 milliliter and no less than 40 million in total.

Not all sperm motility, and this is perfectly normal. Laboratory technicians in the ejaculate, put on the analysis, cells allocate 4 groups depending on their ability to move.

• sperm form A - the most active and mobile, they always move directly and quickly;
• The cell type - is also moving straight, but slightly slower;
• sperm form C in general, are able to move, but the motion of non-straight: They reel in place, can not go forward, and in the opposite direction;
• cell D still.

For a successful IVF it is important to assess not only the number but the quality of male germ cells. Under the microscope, the sperm is compared with the existing standard, and reject the mutated cells.

• Evaluated head structure, its size, structure, shape, number and structure of the tail of the sperm, as well as the structure of the neck of the sperm.
• Only appropriate reference cells are considered morphologically healthy.
• Normally, the proportion of healthy sperm with intact "appearance" should be at least 14-15%.
• All motile sperm alive. But not all are still dead. That is why a separate count the number of living cells. Normal is the presence of at least 50-58% of living cells in the ejaculate.
• Leukocytes in the semen present in the vast majority of men. Normally, their number does not exceed 1 million per 1 milliliter.
• In IVF, they have little or no value, but normally the number according to the relevant special test should not exceed 50%.
• It must be said that the current level of development of auxiliary reproductive techniques often allow to do almost impossible - most forms of male infertility are not an obstacle for IVF procedures. Even in a completely immobile sperm is his DNA kit that needs to be inserted into the egg. However, the procedure in this case will be called ICSI.

If a man abnormally low sperm count, including living and moving in preparation for IVF have the possibility of in vitro choose some completely healthy cells microscopic methods.

This will be enough to fertilize an egg, because in the end under the shell penetrates the oocyte all only one of the tens of millions of sperm cells that fall within a woman's body with natural Conception.

If you change the morphology of the reproductive cells, if the number of mutant cells is high, it is sure to carry out the analysis with DNA fragmentation in order to find out if everything is OK with the genetic material. Then a few selected reference cell, which can be used for IVF or ICSI.

Just in case, if there are no men living and suitable sperm or not produced at all, or Male carrier is dangerous genetic disease, she will need to IVF biomaterial donor. Typically frozen material are used, which verified, researched and safe. Shelf life of cryopreserved sperm - 3 years. Validity of the thawed material - about an hour.

Improve sperm quality before delivery of biomaterial to be used in IVF protocol, it is desirable and possible. Even if the variation in semen analysis insignificant, plain and simple recommendations will help improve male fertility and their own well-being. If the tests show the presence of infection, pre-treatment is necessary.

After purification of the male body Ureaplasma, Chlamydia, after treatment of prostate disease and other ailments semen quality becomes higher and the quantity - more.

If anything is not required, and recommendations for improvement will almost always standard and conventional. To begin, you need a man to give up bad habits: smoking and alcohol. Will be useful and proper nutrition: a man should not overeat, but the diet should be rich in foods containing animal proteins (meat, milk, fish).

Correction may request and schedule a representative of the stronger sex. To normalize spermatogenesis, a man has to sleep at night, at least 8 hours, and because night work is contraindicated.

Fans of bath and sauna is recommended to temporarily abandon their habits, since any overheating of the scrotum leads to a reduction in the number of mobile and active sperm.

Underwear and pants should be quite free, not shackled and do not violate the blood supply to the genitals and pelvic organs.

The doctor, who is planning IVF protocol, tell you what vitamin and mineral preparations can be accepted as a woman and a man. The stronger sex before delivery of biomaterial in about 2-3 months prescribe such drugs as "Speman", "SpermAktiv", "Spermaplant", "Vitaprost", "Speroton", "Viardot", "Spermastrong".

Among the folk remedies especially popular decoction of elecampane root, rose hips broth, tea with sage, raw juice from the pulp of the pumpkin. Man will benefit nuts, figs and honey. To bee products should look in particular: a pronounced effect on the composition of the sperm have a royal jelly and pollen. The main thing that the man was not allergic to these foods.

Moderately active life, the absence of contact with hazardous substances (nitrates, lacquers and paints salts of heavy metals) in preparation for IVF man help to significantly improve the quality of the seed liquid.

Do not underestimate the properties and characteristics of sperm.

Very often the protocol of IVF fails only because of the fact that the sperm were weak or set of DNA has been damaged.

When the mean efficiency to 20% of IVF in poor spermogramme success probability decreases to 5%. In this case, the pair is recommended to take a break and try to improve the quality of sex cells husband.

If this is not possible, in spite of the strict adherence to all recommendations of the doctor, fertilization can be carried out by means of ICSI or IMSI. When these specific sperm is injected directly beneath the egg shell, while egg IVF are in one incubator with sperm and penetration of the sperm into the oocyte it made almost spontaneously.

A source: http://www.o-krohe.ru/eko/analizy/kakoj-dolzhna-byt-spermogramma/

Semen for IVF

The couple, who can not independently have a child today can get the service in vitro fertilization, paid by the health insurance fund.

In order to get in line for this service must be received infertility diagnosis for one of the spouses.

To determine if the men have children performed semen analysis to ECO CHI, studied hormones and conducted urinalysis.

Analysis of fertility

For men with poor semen analysis eco is often the last chance to ensure conception, because sometimes it is enough to have one healthy sperm. It is usually applied when the other options for improving the semen did not help.

The reasons for the purpose of IVF due to male infertility are:

• Insufficient sperm count (less than 2 milliliters per ejaculation);
• A small number of viable sperm;
• Inability to obtain sperm by masturbation, in which case it is taken by puncture under anesthesia.

Process for the delivery of biomaterial IVF does not differ from the standard analysis, it occurs through masturbation and collecting the ejaculate in a special container. Before submitting spermogrammu IVF is necessary to prepare for the study:

• Exclude alcohol a week before the procedure;
• Abstain from sexual relations for 2-3 days;
• Try to avoid stressful situations, including physical overload;
• Do not use the sauna and bath and take a hot bath, so as not to overheat;
• Do not use drugs.

The resulting material was investigated, and then carried out its processing, including its liquefaction temperature about 37 degrees, purification and adding to the resulting concentrate healthy sperm culture medium. If necessary, the resulting concentrate may be frozen and used in the future.

Term of semen for IVF clinic depends on standards, it is six months on average, after which the analysis is repeated.

Norms of semen for IVF

Analysis spermogramma evaluates IVF clinic on the following parameters:

Index	Norm
The volume of ejaculate	1.5 ml
The number of sperm per milliliter and in the whole volume of ejaculate	From 15 million to ml.
The proportion of progressively motile sperm,	More than 31 percent
The proportion of progressively motile sperm,	More than 31 percent
The proportion of morphologically normal spermatozoa	More than 4 percent
The presence of white blood cells in the ejaculate	Million to less than 1 mL.

semen standards for eco in different clinics may differ, however, the majority of medical institutions adhere to the WHO recommendations, listed in the table. The better diagnostic performance, the higher the probability of successful fertilization, and fewer attempts will have to make a pair.

In a situation where the sperm meets the state criteria:

• sperm concentration of 10 to 20 mln / ml;
• their mobility from 25 to 50 percent;
• good morphology in 30 percent of the sperm.

In this case, we recommend carrying out insemination, at which artificial insemination, ie, woman through a catheter introduced into prepared sperm, then fertilization should pass naturally by.

If this method fails, IVF is used directly, the difference is that Fertilization takes place in a test tube, after which the fertilized egg, not more than one, podsazhivayut patient. This method requires more outside interference, including hormonal drugs.

IVF with poor semen morphology is recommended to accompany the ICSI. In this case, the egg is not simply added substance spermatozoa and sperm is injected directly into a single egg. Such a method provides a greater probability of conception and a sufficient quality of genetic material, as specifically shown in sperm morphological parameters.

To make a decision about the need for ICSI doctor is repelled by the following indicators:

• The absence of ejaculate;
• The presence of sperm antibodies in the semen;
• The presence of gross morphological disorders in more than 50 percent of sperm;
• Almost immobile sperm;
• Very low levels of spermatozoa in the ejaculate.

If a bad husband semen IVF and ICSI are often the only opportunity for couples to have a child.

A source: https://bad-spermogram.ru/spermogramma-dlya-eko.html

Semen for IVF

Due to the improvement of assisted reproductive technologies made possible to do IVF with poor semen analysis.

Semen is multifactorial analysis specifically for this procedure. Its results may vary under the influence of the environment, and also depend on the bad habits of men.

To evaluate the results in the laboratory using generally accepted norm values ​​which may vary within a small range.

Give an adequate assessment of a diagnostic procedure can not, therefore, the analysis is conducted in the dynamics.

To accurately determine the status of fertile men have to get tested in the same laboratory 2-3 times at intervals of two weeks.

How important semen for IVF?

Letting spermogrammy before IVF procedure is mandatory. After the conclusion of the study is given to the characteristics of the cellular elements, as described status of semen in general and the presence of foreign inclusions.

For IVF, this analysis shall prevail. Since it is possible to accurately figure out whether a man in any way to be a father.

In identifying pathologies interfering conceive naturally, selected one of the methods of artificial insemination.

If, however, research has shown that sperm is completely unfit for fertilization of the ovum, or they do not exist, doctors suggest using donor genetic material.

Key indicators, which are accounted for IVF

There are indicators of semen for IVF, which are discussed in detail several times:

• The volume of sperm donated for analysis;
• And its viscosity during liquefaction;
• acidity index.

According to these indicators, you can evaluate the performance of the seminal vesicles, and epididymis, and prostate. If there is a large amount of sperm, it is likely there are inflammatory processes.

If the above parameters are violations before IVF need to get rid of them by a special treatment.

• The concentration of the sperm;
• Their amount in 1 ml of the sample;
• Motility;
• The presence or absence of agglutination.

If semen analysis was done for IVF, the norms of these parameters are taken into account necessarily, since they determine the use of a particular method of ART.

• The morphological structure of the sperm;
• The presence of leukocytes and other cells, indicating the fact of inflammation in the urogenital region.

If there are such deviations, it will have to pass an additional examination is necessary before the IVF procedure, namely:

• binding assay with hyaluronic acid;
• Analysis of DNA fragmentation;
• MAP test.

That can affect the outcome of sperm analysis?

After the correct pass spermogrammu for IVF, the man chosen treatment strategy, which must be completed prior to in vitro fertilization.

Sperm quality is largely affected not only by hormonal and reproductive background, but also external factors. This applies mainly to such moments:

• Too little or prolonged abstinence from sexual intercourse;
• Failure to comply with the rules of preparation for semen analysis;
• The presence of diseases, sexually transmitted diseases;
• Hormonal imbalance;
• Genetic abnormalities;
• Abuse of alcohol and tobacco;
• Excessive exercise;
• Influence of chemicals;
• Unstable emotional state.

In preparation for the delivery of the analysis should try less nervous, more rest and not think about the possible result. Term of semen for IVF depends on the outcome of urgency. It can vary within one or several hours.

A source: https://spermogramm.ru/spermogramma-dlya-eko.html

Semen for IVF

• Partners throughout the year is not possible to conceive a child, because this period is considered the highest-Reproduction doctors for the onset of natural pregnancy. Exceeding this period - a reason to see a doctor. Partners will be assigned to a variety of tests and examinations, including semen analysis and, if diagnosed with "infertility" is confirmed, it will be necessary to identify the causes leading to it. Only after that the experts will be selected optimal therapy program. However, the most optimal method of combating reproductive problems both sexes today is IVF.
• Before joining the IVF protocol need another delivery of the seminal fluid. Regardless of the type identified the couple infertility, both prospective parents will need to get tested again to prepare for the procedure. Due to the results of repeated semen for IVF physician can dramatically change your view on the problem of reproductive partners, and then in their course of treatment will be changes. If a man, for example, is detected spermatogenesis, the specialist will recommend partners IVF in conjunction with ICSI technology.
• If a man faced with the problem of child conception, sperm analysis will determine the exact diagnosis for him.
• When the apparent abnormalities in the reproductive system of men is not observed, is appointed spermotogramma to detect changes in the structure of the sperm. Thanks to modern methods of studying sperm have the opportunity to learn the exact cause fertilization problems for a particular patient. There is no reason to talk about male infertility demon careful study of his sperm.
• In today's society many young couples are willing to plan the appearance of the child. In such cases, spermotogramma rent in order to avoid future reproductive problems.
• Another reason for putting the semen - is the desire of a man to get an idea of ​​their own health. To this end, standard procedures - Flyurografiya, ECG, ultrasound, blood tests and other - is added and semen.

It is known that the reproductive system of men is updated periodically. This means that the quality of the semen is completely restored in sixty to seventy days. In connection with this, of course, if a man has no deviations from the norm, it can improve the quality of the seed before IVF by following simple recommendations of the doctor.

The below measures aimed at improving the health partners, experts recommend for a successful IVF procedure:

• abandonment of addictions
• balanced diet
• reducing the amount of stress and negative emotions at home and at work
• refusal to attend saunas and baths, as well as from taking hot baths - heat can adversely affect the sperm activity and even disrupt their structure
• refusal to wear narrow underwear, which can also badly affect the male reproductive function
• Abstinence from sexual intercourse - from three to seven days
• rejection of reception of drugs than those without which a man can do; but should consult with a physician for their further use, as even the simplest pain medication may affect the results of semen analysis, not to mention the more serious preparations

Prolonged abstinence enhances concentration in the seminal fluid of the substance contained, thereby it will be possible to detect the slightest violation of the reproductive system, which, in turn, could be the cause of problems fertility.

Semen for IVF is usually carried out once, if it was not revealed any abnormalities.

But, if the pathology yet been identified, it assigned a reanalysis of a few weeks, during which you must comply with all directions given to a patient more at the first deposit spermotogrammy.

If the first and second result differ markedly, it may be taken, and the third analysis, the results of which the doctor finally diagnose. It is also sometimes necessary dynamic studies of seminal fluid - in the event that the correction of identified deviations.

The results of semen

Analysis of ejaculate deposited within ECO, is today considered the most universal way of assessing the quality of sperm. This analysis gives an idea of ​​qualitative, quantitative and morphological characteristics of the seed, so on the basis of its results is a full conclusion on male fertility.

Analysis, research parameters and results are regulated by the WHO document, the composition of the general rules for all the laboratories and clinics with semen analysis.

Criteria for evaluation of semen

The first thing to pay attention that experts at the time of the ejaculate for IVF - this sperm count. To do this, assembled the patient sample is calculated the concentration of spermatozoa. Normal concentration is considered to be about twenty million sperm per milliliter or forty million for the entire volume of the seminal fluid.

One of the key indicators that directly affect a man's ability to conceive a child - is the viscosity of the ejaculate. The deviation of this criterion is considered one of the most common today.

Due to the increased viscosity of spermatozoa in the uterus movement difficult, which causes an increase in the time of their stay in the female aggressive environment recognize them as foreign invaders.

Problems with sperm viscosity may occur due to violations of the process of sperm liquefaction, which occurs before the beginning of the path of sperm to the uterus. The reason for this kind of problem can serve as any inflammation of the reproductive system of the patient.

Fortunately, increasing the viscosity of the ejaculate is quite simply treated using mainly medication and vitamins. Also, the expert can strongly recommend a man healthy lifestyle.

The totality of the shape and size of the sperm, affect fertilization, called its morphology. Check the morphology involves comparing the respective normal and defective sperm percentage.

Thus, the expert receives the percentage of sperm able to conceive.

However, this figure is considered to be rather subjective and ambiguous, since the change in morphological quality seed for the worse may be just a temporary result of the impact of any negative factors on man.

For example, the number of pathological forms of spermatozoa increases if the patient living in areas with critical environmental situation - this means that the seed morphology influences ecology. Also a negative impact on this criterion have stress and a variety of toxic effects; rare - infectious and inflammatory processes.

Another criterion - it is the volume of ejaculate. According to the WHO, if the patient is handed over less than two milliliters, it is classified as insufficient volume. The problem here, as a rule, lies in the dysfunction of the prostate gland, which indicates a low level of sex hormones.

Officially, however, the volume of the maximum limit of the ejaculate is not, however, many experts believe that more than five milliliters - it's pathology. Excess volume standards may be due to inflammation of the reproductive system, in particular - on the background of prostatitis.

The next indicator, considered one of the most important - is the time of semen liquefaction. This phrase represent the time during which sperm from the viscous state into the liquid. The normal time - from fifteen minutes to an hour.

If in the liquefaction has occurred during this time, it will not happen at all, which is extremely unfavorable for conception - when prolonged liquefaction located in an acidic medium sperm lose their biological energy, and with it the mobility and thus their ability to drop significantly fertilization. The process of determining the time of liquefaction of sperm in the laboratory is quite simple: the ejaculate concern serological pipette and raise it; if for the pipette reaches the thread more than two centimeters - is considered abnormal. It follows that this indicator is very closely linked to the viscosity of semen.

Inflammatory processes in the reproductive system of the patient may also indicate an unusual color of ejaculate.

However, the description of this indicator today - it's more tradition than is really necessary moment, as its informative value in comparison with other indicators is minimal.

Color semen, though, and can indicate deviations, thus changing and depending on men diet. This figure is considered to be the most susceptible to external influences.

Color ejaculate usually does not point to any pathology of the reproductive system of a patient, except the case where the semen takes a pinkish hue - this means that in sperm increased content erythrocytes.

In the study of such a criterion as sperm motility, they are divided into four groups, denoted by Latin letters A, B, C, D.

Group A - sperm is moving in a straight line, and quickly, in - the ones that are also moving in a straight path, but with much at a rate of C spermatozoa do not move in a straight line: they may move around, or chaotically, without seeking to goals. Spermatozoa same group D absolutely still.

All four groups of sperm found in semen men, and it affects their fertility percentage. In a patient with a healthy reproductive system of mobile young sperm in the ejaculate should not be less than half. At this rate it is influenced by many factors, such as temperature - the lower it is, the slower moving sperm.

Another equally important factor - a measure of pH, or acidity level of ejaculate.

In principle, the imbalance of acidity of the patient is not considered a pathology, but in combination with other abnormalities can affect the opinion of the expert.

For example, if the performance liquefaction and sperm morphology of the patient is also not correct, then the doctor can make a finding of a violation of the prostate men work. The normal rate of acidity - 7.2-8.0.

And finally, the last point that doctors pay attention during the delivery of semen for IVF - it agglutination or agglutination of sperm.

Agglutination is a sign of a serious immune disorder in a man, so doctor abnormality in this criterion is to assign a patient cause extra examination. Bonding sperm can occur for two reasons.

First, it could serve as the presence of mucus in the seminal fluid - in this case the agglutination will affect only a small number of sperm, and does not cause infertility.

However, the second reason is not as harmless: the presence of sperm bodies that act against sperm cells, inhibiting their movement causes infertility and can be found both in men and from women.

Possible violations of sperm

Zoospermia - not a reason to panic. This diagnosis means that the patient is increased semen concentration rounded cells - leukocytes and immature germ cells. Often zoospermia indicates inflammation in the male reproductive system, but to impaired fertility and infertility it does not.

However, there are diagnoses in most cases means the impossibility of a natural pregnancy and the need for IVF:

• asthenozoospermia and akinozoospermiey - insufficient and complete immobility of sperm respectively
• oligozoospermia - too low concentration of sperm in the ejaculate (less than normal twenty million per milliliter)
• oligospermia - insufficient volume of ejaculate
• theratozoospermia - too many abnormal sperm in the sample

However, one of the above-stated diagnosis after the first and even the second semen analysis still does not rule out completely the possibility of a natural pregnancy because all the criteria vary considerably over time. This is the reason semen before the IVF procedure is assigned at least twice at an interval of several weeks. If the results of the first and second analysis vary greatly, it will be assigned to another analysis - control.

Adjustment of treatment, taking into account the results of semen for IVF

semen results may affect the development of treatment for partners. If a man in a survey as part of IVF treatment were detected any problems with the reproductive system, the specialist will likely recommend IVF in conjunction with ICSI.

ICSI - a special method of oocyte fertilization IVF procedure. As a rule, if a man has revealed a severe form of infertility, for example, with a shortage in his sperm motile sperm will be used this method.

A source: http://xn—-ptbaagbcftf7n.xn--p1ai/articles/35-spermogramma-dlja-eko.html

Artificial insemination and semen

Birth of a child - the most long-awaited moment in the life of the couple. However, there are cases when a woman still can not get pregnant. Unfortunately, cases of infertility become increasingly common. What is the cause of male infertility? In some cases it is necessary to resort to IVF or ICSI?

A few words about the male and female infertility

If you suspect that infertility is first drawn to the doctor, usually a woman, believing that the problem is in it. However, the probability of 50%, as in half of the cases the woman can not get pregnant because of male infertility.

At the doctor's specialist usually asks the woman to bring her partner for the delivery of sperm to semen behavior. This is a special laboratory analysis, which defines a set of qualitative and quantitative characteristics of sperm.

Defined options allow you to assess the state of sperm, in particular, their ability to fertilize an egg.

If the results of semen analysis significantly deviate from normal values, the man placed a particular diagnosis and treatment is prescribed. Sometimes treatment does not lead to the desired result, and in this situation will be solved the question of carrying out in vitro fertilization (IVF).

It is noteworthy that some of the abnormalities of semen still not talking about male infertility. The quality and quantity of sperm semen varies depending on several factors, such as fatigue, stress, some medications, alcohol and other. Therefore, several times shall semen (usually 2-3 times) for a definitive diagnosis.

Semen when it appointed a man

The doctor prescribes the passage of semen a man under the following circumstances:

• The absence of pregnancy in women after a year of trying. If a married couple for a year can not conceive a child, it is a cause for seeking medical attention. And the woman, and the man held a special survey, the purpose of which is to detect the problem, not allowing a couple to conceive a child. For men primary diagnostic method is spermogram. If a the results of semen unsatisfactory, after the diagnosis of the doctor prescribes the best option for couples - conducting in vitro fertilization.
• Delivery of the sperm immediately before IVF. No matter what kind of type of infertility was diagnosed in pairs, prior to in vitro fertilization woman and a man are required to pass all the tests again. Thus, the results of semen for IVF can change the look of the attending physician on the problem of infertility, and treatment for the pair can be adjusted. For example, if after delivery of analyzes in men spermatogenesis is found, the doctor may recommend conducting ICSI methodology as part of the in vitro fertilization.
• Semen for diagnosis. If a man is faced with the problem of conception, the semen is one of the most important diagnostic procedures, which allows the doctor to make a diagnosis.
• Changes in the structure of sperm. Semen analysis and assigned to detect changes in the structure of the sperm. With modern diagnostic methods used in Reproductology can determine what changes in spermatozoa do not achieve fertilization oocyte. Without a thorough study of sperm to talk about male infertility wrong.
• planning for pregnancy. In today's world, more and more couples planning a pregnancy, and for this purpose they go to the doctor to get the necessary consultation. When planning a pregnancy, a couple wishes to avoid possible infertility, so man and woman hand over all the necessary tests.
• Assessment of the state of men's health. Another reason that a man delivers sperm for analysis is the desire of men to obtain full information about their health status. Besides traditional diagnostic techniques (ECG, ultrasound, blood and urine tests, and others) can also be carried out semen.

How to prepare for the delivery of sperm for IVF

As it is known, in contrast to the female body, in men there is a constant renewal of male germ cells. Thus, the sperm completely recovers all of its quality for 60-70 days.

Therefore, the future father can significantly increase the quality and quantity of sperm characteristics before the IVF procedure.

It is true that if a man has no serious health disorders.

Before the semen a man who is preparing for the process of in vitro fertilization, must adhere to the following guidelines:

• It is necessary to eliminate bad habits.
• Healthy food. The doctor will recommend to adhere to the principles of sustainable balanced diet.
• Excluding visit saunas, and should also refuse to accept hot tubs. Keep in mind that high temperatures have a negative impact on health and the testicles of the male seed.
• Should refrain from negative emotions and stress.
• Men should avoid wearing narrow and tight clothes, which compresses the male reproductive organs.
• Stop taking drugs. Medicaments usually adversely affect the quality of the sperm, so should refrain from receiving. Except for those drugs, without which it is difficult to avoid the man. To further receiving such drugs man preparing for IVF procedure should consult a physician. It should be remembered that the results of IVF can adversely affect even the tablet pain medication, not to mention the serious drugs, such as antibiotics or antihistamines.
• Before the delivery of sperm to semen man should abstain from sexual intercourse (and masturbation) for 3-7 days prior to analysis. It is noteworthy that the longer a man is to abstain from sex before semen analysis, the more reliable will be the results of the analysis. During this period the sperm increases the concentration of all the substances that gives physicians an opportunity to see even minor disturbances in the male seed, which make it impossible to conceive a child.

IVF sperm men must meet certain criteria, and if the performance is satisfactory, it is not carried out repeated sperm analysis.

However, if in the course of the study revealed violations, they are the basis for a reevaluation of semen, which is usually carried out in a few weeks. diagnosis before this time will be hasty and not entirely correct.

If results in the second delivery of the sperm were unsatisfactory, the doctor prescribes a third study, and only after the third semen is an appropriate conclusion.

If a man is appointed treatment, corrective qualitative and quantitative characteristics of sperm, then in this case carried out dynamic semen analysis to check the effectiveness of the treatment.

A source: http://www.likar.info/zdorovye-vsey-semyi/article-79051-vy-stanete-papoj-spermogramma-dlya-eko-i-iksi/