Categories: Mens fertility

Complete Male Fertility Evaluation

Steps to a full male fertility evaluation;

History

A full medical & social history should be taken. This includes family and personal medical issues both present and past, developmental issues as a child (i.e. undescended testis), use of medications (some negatively affect sperm, i.e. drugs for hair loss, hypertension, prostate issues), sexual history, use of proper lubricants, & occupation (exposure to toxins or heat, sedentary). Please bring all prior medical evaluation paperwork with you to your initial appointment.

Physical Exam

BMI, blood pressure, secondary sex characteristics, irregularities of the penis & testicles, careful palpation of the spermatic ducts for tenderness and/or obstruction as well as varicocele, and especially if there are any abnormal urinary symptoms, a prostate & seminal vesicle exam should be performed.

Must Read: Diabetes Emergencies

Semen Analysis

As Dr. Paul Turek states: ‘although not a true measure of fertility, the semen analysis, if abnormal, may suggest that the probability of achieving pregnancy is statistically low.’ It is always recommended to get 2 semen tests done, at least 2-3 months apart to rule out error. As well, it is recommended to have them done at a fertility clinic and opt for more extensive style semen testing options that are available. Unfortunately, sperm DNA fragmentation Assays are not currently done in Vancouver, as this is an important test that has particular importance in bein gused when recurrent pregnancy loss is evident. Normal up-to-date semen testing values:
– Volume: >1.5ml
– Concentration: >15 million/ml
– Motility: >40% forward rapid progressive
– Morphology: >4% normal forms
*Anti-sperm antibodies should be tested for if the following are present: should be no agglutination, white cells, increased viscosity, or raised ph. .
*Genetic testing should be considered if sperm concentration is zero or very low.

Sperm is evaluated into the following categories;
– adequate
– aspermia (absence of ejaculate)
– azoospermia (absence of sperm in semen)
– oligospermia (lowered sperm density)
– poor motility and forward movement
– high percent of abnormal sperm morphology
– antisperm antibodies

Hormone levels

If thyroid & fasting blood sugar tests should be done. Hormones associated with reproduction should be measured if:

  1. Sperm concentration is <10 x 106 sperm/ml on semen analysis.
  2. There is impaired sexual function (erectile dysfunction, low libido)
  3. There are exam findings of a specific hormone disorder (i.e. thyroid).

Additional tests

Any additional testing should only be ordered if it would do any of the following:

  1. Delineate treatable problems
  2. Define life-threatening problems
  3. Help guide non-surgical/alternative medical treatment efficacy & di
Dr Spence Pentland

Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Further demonstrating his commitment to reproductive health, he is a devoted member of IAAC (Infertility Awareness Association), CFAS (Canadian Fertility and Andrology Society), and ASRM (American Society for Reproductive Medicine). As the former president of the Traditional Chinese Medicine Association of British Columbia and the provincial BC TCM quality assurance committee, Dr. Pentland is well respected by peers and patients alike. He remains actively involved in educating healthcare colleagues and the public on the powerful benefits of Chinese medicine & acupuncture, working steadily on the integration of ancient Daoist wisdom into modern western life as a way to build awareness about reproductive health. This compassionate expertise is reflected in patient testimonials. When not helping others start their families, Spence can be found spending time with his own--his adoring wife Chantal and their two beautiful sons. “I am very proud to be part of the team of professionals at Yinstill. We are all dedicated to raising the bar in the field of complimentary and alternative reproductive medicine. Nothing is more important than family,” he says. Professional Development Certifications Combining TCM and IVF to Improve Clinical Outcomes - Jane Lyttleton Treating Complex Gynecological Conditions with Evidence-based Acupuncture - Elisabet Stener-Victorin High-Performance Summit - Darren Hardy Acupuncture during Pregnancy: safe and ethical practice - Claudia Citkovitz Treating Irregular Menstrual Bleeding - Sharon Weizenbaum Management of High Risk Pregnancy Conditions - David Bray Physiology & Pathology of Gynecology - Giovanni Maciocia Treatment protocols for Menopause and Endometriosis - Kiiko Matsumoto Chinese medicine approach to the treatment of Poor Ovarian Reserve - Brandon Horn Clinical problems and solutions in Oriental Reproductive medicine - Dr. Daoshing Ni Treatment strategies for PCOS, Weight Loss, & type 2 Diabetes - Sharon Weizenbaum Allergic and Autoimmune diseases - Mazin Al-Khafaji Acupuncture in Pregnancy & Childbirth - Debra Betts Treating Infertility with Chinese medicine - Bob Flaws Masters class in Diagnosis - Bob Flaws East meets West in Reproductive medicine - Mike Berkley The Infertility Cure - Chinese wellness program - Randine Lewis Men’s Health and Fertility - Peter Deadman Integrating acupuncture and IVF - Diane Cridennda and Dr. Paul Magarelli Treatment of Infertility with Chinese medicine - Jane Lyttleton Yang School lecture series Part 1 - Dr. Liu Fang Advanced acupuncture in pregnancy - Jean Levesque Certified Western herbalist - Packard School of Nutrition Courageous conversations - Justice Institute Biology of Empowerment - Dr. Lee Pulos Secrets of Chinese Pulse Diagnosis - Bob Flaws and Honora Lee Wolfe View Articles and Blog Posts by Dr. Pentland Read Dr. Pentland's Success Stories Become Spence's friend on facebook

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