Semen Analysis: Key to Evaluation of Men with Infertility
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Semen Analysis: What You Need to Know
Semen analysis is a key test in the evaluation of men with a history of inability to conceive. Men should abstain from sexual intercourse for 2-3 days before semen analysis. Curiously enough, abstaining from ejaculation for very long periods of time (weeks to months) can impair semen quality.
At least 2 semen analyses should be performed, separated at least 1-2 weeks apart. Two semen analyses provide a more representative idea of various parameters evaluated on semen analysis. Ejaculate containing sperm should be evaluated within an hour of ejaculation by a specially trained technologist.
Care should be taken that all ejaculate is captured for evaluation. Incomplete semen analysis collection is one of the most common causes of low semen volume. Semen should not be collected in condoms as some condoms have spermicide.
The following parameters are important. They are evaluated using a microscope as part of each semen analysis:
According to 2010 guidelines, the following are used as reference values:
Reference Values of Semen Analysis:
- Semen Volume (2010): 1.5 ml
- Sperm Concentration: > 15 million/ml
- Total sperm count: > 39 million
- Sperm Motility: >40%
- Sperm Morphology: >4%
It is important to understand that semen parameters vary dramatically amount fertile men. There is a significant degree of overlap in semen parameters between fertile and infertile men. However, the more abnormal the values are, the higher the chance that a given man will be infertile.
Reference values listed above are used to identify men who are at higher risk of being infertile. With that in mind, the average sperm count of fertile men is around 70 million/ml, with about 60% motile sperm, with normal morphology of 15%.
Diagnostic Classification of Patients Based on Semen Analysis
Based on the results of semen analysis, patients are classified as having azoospermia (no sperm on semen analysis) or one of the other diagnoses. Oligozoospermia or oligospermia means that there are fewer than normal sperm on semen analysis, asthenospermia means that sperm has low motility. Teratozoospermia means that higher than the normal number of sperm have abnormal morphology (shape or appearance).
When multiple semen parameters are abnormal, the finding is sometimes is referred to as oligo-astheno-terato-zoospermia, which means defects in count, motility, and morphology of sperm.
In men with one abnormal parameter, the risk of infertility increases 3-fold; with 3 abnormal parameters, the risk increases 15-fold. It is also important to remember that the great majority of men are fertile.
Learn More About:
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Where to Get Semen Analysis in NYC?
At New York Urology Specialists, we offer treatment for male-factor infertility and sperm analysis. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-212-204-6300 or make an appointment online.
We perform penile procedures, varicocele and hydrocele repair, vasectomy reversal, and cosmetic circumcision. We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform testicular ultrasound examinations in our office. We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Cost of Male Infertility Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer flat-fee ‘all-cost-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Evaluation of Abnormal Semen Analysis?
- All treatment is performed by a board-certified urologist experienced in treating men with male infertility, low sperm count, and idiopathic male infertility. We treat symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
- Experience – we see and treat many infertile men and couples. You are treated by board-certified urologists who are up-to-date on the latest advances in the field.
- Freedom to Choose Reproductive Endocrinologists – As an independent practice, you’re not forced to use a reproductive endocrinologist for the female partner that works with us. You are free to choose a reproductive endocrinologist of your choosing.
- We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Testicular Problems Look Like?
You can find pictures of testicular problems as well as before and after treatment images in our image gallery.
Scheduling Appointments for Treatment of Infertility in Men at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including infertility and low sperm problems, sexual problems, and urinary problems in men. We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Enlarged prostate
- Penile skin adhesions
- Phimosis Treatment
- Penile Pain During Sex
- Impotence in men with diabetes.
- Vasectomy
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
