The basic test is analysis. There are scans and Doppler. So in men who have reduced count and motility is because of engorged veins that is called as varicocole, the local temperature increases and the count comes down. The count can be reduced because of hormonal factors. If the FSH is rising high and is rising progressively over the months, it could be a secondary failure. As it is going into failure, and if there is a rise in FSH in men, then ICSI has to be done. Other hormones assessed are LH, testosterone, inhibin b, SHBG. The most important ones are the LH and testosterone levels. There are several occasions were we find the count is low but he e check the levels they are quite high, with the correction of TSH levels with administration of levothyroxine and with the administration of cabergoline has resulted in drastic improvement in the counts. Testosterone levels decreases age the age increases. As the fat increases or the leptin hormone increases and the male hormones decreases. So the reduction of weight can bring back the male hormones or LH levels to normalcy.
Негізгі бет Tests for men to asses infertility - Dr. Rashmi Yogish
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