The fertility center at the Clinic of Friedrichshafen was established 2001 and since then has helped thousands of couples to overcome the infertility problem. The team of specialists, headed by MD H.V. Vollert, includes urologists, andrologists, endocrinologists, embryologists and specially trained reproductive specialists, whose aim is to provide professional and competent treatment of male infertility in a friendly and pleasant atmosphere.
The clinic has at its disposal the modern IVF laboratory, equipped with the latest devices for evaluating male fertility (semen analysis in case of suspected low count), cryopreservation of healthy cells and embryo cultivation. The surgical section of our fertility center offers the most sparing and efficient techniques for low sperm count management (surgical treatment of functional disorders and sperm retrieval in case of low sperm count).
Among the causes, which may affect sperm quality and lead to low sperm count there are infections (mumps orchitis), undescended testicles, genetic defects, closure of laxative vas deferens, erectile dysfunction, poor sperm transport, testicular varicose veins (varicocele), hormonal disorders, age and retrograde ejaculation (releasing sperm into the bladder).
The urologist will start with general consultation and procede with the physical examination, including a digital study of the testicles. The ultrasound examination of pelvic organs and testicles helps to exclude the possibility of functional disorders (i.e. varicocele as a cause of low sperm count).
Semen analysis is of central importance for diagnosing the low sperm count. The number of motile sperm per milliliter is extremely informative for estimating the male fertility. Typically, the semen should include at least 39 million sperm (or a concentration of 15 million sperm per milliliter of ejaculate). The average amount of fluid per ejaculation in a healthy man is at least 1.5 milliliters. If the number of sperm (sperm concentration) is too low, the doctors may advise further investigations. These may include blood tests (for example, genetic studies or hormone profile evaluation) or a review of the ejaculate for signs of inflammation.
Immunology tests: The presence of spermatozoa antibodies (antisperm antibodies, ASA) in the semen can also affect fertility and lead to low sperm count. In case of lower sperm count of unexplained etiology the specialists of Friedrichshafen recommend the mixed antiglobulin reaction test (also called MAR-test) to exclude the immunological cause of low sperm count. In this case a drop of the untreated ejaculate is brought together with a drop of a suspension of erythrocytes, coated with antibodies. If more than half of motile sperm is affected with IgA, the specialists speak about the immunology infertility.
Male infertility treatment at the Clinic of Friedrichshafen in Germany is based on years of experience in the field of andrology and assisted reproduction. The board certified specialists provide the patients from all over the world with excellent quality of treatment at the latest scientific level, promoting interdisciplinary, individualized and holistic approaches.
The experienced specialists at the Clinic of Friedrichshafen successfully manage the following conditions, responsible for male infertility:
Conservative management of low count оf sperm: There exist numerous modern medicines that can improve the sperm quality and solve the fertility problem. Among them are: ondrogens, testolactones, follicle stimulating hormone injections, steroids, clomiphane and various antioxidants. The use of antibiotics for the treatment of reproductive tract infections can also help to treat low sperm count. In each case the specialist works out an individual medical plan in order to improve the fertility characteristics oft he semen.
In some cases surgical retrieval of sperm for further IFV or ICSI can be the key. According to the latest clinical studies, the quality of sperm, retrieved from testicles or epididymis is 50% more motile than the sperm, obtained in a natural way.
Surgical sperm retrieval: Testicular sperm aspiration (TESA) is performed under local anaesthesia and is absolutely painless. Sometimes the sperm must be taken directly from the epididymis. This method is called MESA. Since the amount of the thus obtained sperm is low, a ICSI treatment is usually necessary to ensure fertilization of the ova.
"Sperm washing" for IVF: The reproductive laboratory of the Clinic of Friedrichshafen implements the special sperma washing, which involves remоving any mucus and non-motile sperm. Modern high-speed centrifuges allow to clear the reproductive material without damaging the male cells. Besides, if necessary, such a sample can be frozen in liquid nitrogen and used for further IVF or insemination. During the intrauterine insemination sperm is directly inserted into the woman's uterus to increasr the number of sperm which reach the fallopian tube. Another method of assisted reproductive technology, which could help in case of low sperm count, is the process in which the epreviously sperm is injected into an egg (ICSI). The success rate of such a procedure at the clinic of Friedrichshafen makes up more than 45% (in the first treatment course).
If you or your partner think of coming to Germany for fertility treatment and need more information about modern methods of low sperm count management, please don’t hesitate to call our international office. Experienced reproductive specialists of our clinic would be glad to answer all your questions, concerning diagnosis and treatment of male infertility (low sperm count) in Germany.