There are some things that we actually need to know before we go into details. If you are looking at infertility, we have to know that we are not talking about male or female, it’s a mutual inability to conceive and have a pregnancy within a one year of regular sex. It means 2 to 3 times per week without using any contraception as it is a peer diagnosis. We have to understand that not only female should be consulting in the case if natural pregnancy cannot be reached, but also a male as well needs to go to a specialist, and it’s usually an andrologist, and if the partners do it at the same time, it’s much faster, we can get a result. Approximately 15% of couple faces fertility issues, one half of them it has to do with a male factor. I believe in future there will be more and more couples facing fertility issues. If you remember we look at sperm quality issues and it’s still a problem, especially for Western countries where, and as I’ve mentioned it is also a case for Europe. One-third of all male infertility cases, we cannot say why it is so-called idiopathic male infertility, it means that a lot of it is still not clear in the field, and a lot of studies are still ongoing, and I believe in the nearest future, we will have more and more information, and therefore we can help a lot of patients to get the pregnancy.
I already mentioned the age of the partner, it’s not only female age which is important but also a male, because after the age of 35 several processes begin in the body that increases sperm DNA fragmentation for example. As well as stem cells are starting to die slowly, therefore we have to be very careful with planning our family. If we are delaying this decision the to late 30s or 40s, then there is more probability of getting some issue with natural pregnancy due to male factor. One of the cornerstones of male infertility tests is a semen analysis, and this is actually the first analysis which we are usually starting with to check the male. But not only semen analysis needs to be checked, it’s an assessment of all body, all diseases, it’s a proper physical examination that needs to be done, like a further investigation for endocrine, genetic and maybe other tests. This is something that we do during a visit case-by-case. If you are looking at the probability of natural pregnancy by looking only at semen analysis, then we can predict approximately only 60% because there’s a lot of other things that need to be taken into account besides semen analysis. Therefore I encourage not to look only at the semen analysis but to look on the whole body health as well.