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REPRODUCTIVE HEALTH GUIDE

Male infertility, ICSI and advances in sperm selection

Fertility assessment concerns both partners. Exploring male factors early can save time and make it clearer why a particular treatment is being recommended.

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This is general information, not an individual diagnosis or treatment plan. Outcomes vary between people.

Semen analysis is a starting point

Count, movement and shape are interpreted with collection conditions and medical history. Repeat analysis or urology assessment may be appropriate. Recent fever, surgery and medication are relevant. A single result cannot definitively rule out natural pregnancy or guarantee it.

ICSI and micro-TESE are different

ICSI introduces a selected sperm into an egg; fertilisation and pregnancy remain uncertain. Micro-TESE searches testicular tissue for sperm in selected azoospermia cases. Retrieval is not always successful. Hormones, examination and sometimes genetic investigations inform counselling; no single marker makes the surgical outcome certain.

Microfluidics and advanced testing

Microfluidic systems and high-magnification selection aim to help choose sperm. Improvement in a laboratory measure must be distinguished from improvement in live birth. DNA-fragmentation testing and additional selection techniques are not routine requirements for everyone. Ask whether the test would actually change the treatment plan.

Make decisions together

A male factor is not a matter of blame. Reviewing both partners’ reports together can reduce unnecessary repetition. You can explore Prof. Dr. Mehmet Çolakoğlu’s publications on azoospermia and assisted reproduction in the scientific publications section, then discuss your results and any specialist assessment needed at a consultation in Konya.

Prof. Dr. Mehmet Çolakoğlu

Discuss your personal next step.

Prof. Dr. Mehmet Çolakoğlu began his academic career at Selçuk University in 1985 and has national and international experience. Contact the practice in Konya to discuss your circumstances and treatment options.

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