Male Infertility Test Simplified


by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)


Have you ever gone through a fertility assessment before? For couples who had done it , you would know that it can sometimes look very complicated with all those internal ultrasound (transvaginal) scans, blood tests, x-ray tests and sperm test for a male partner.

In this article, I will simplify the fertility tests for a male partner. I’ll start with sperm test and go on to other tests required when a man has no sperm (azoospermia).

For a man , the most important test is a semen analysis (sperm test). About a third of couples, the problem lies with the male partner and thus it is very important to do this test.

“A 70 year old man can still reproduce, so this can’t be a major issue right?” . Its a yes and a no. It is true that a man continues to produce sperm but the QUALITY of the sperm deteriorates as he ages. Low sperm quality equals to lower chance to conceive.

What is a sperm test ?

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Myths Of Miscarriage

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)



Miscarriage and Me

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)

Knowing the myths of miscarriage

“ I lost my baby because I was walking too much”

“ It’s all my fault, I should have just stayed at home”

These are some of the examples of what couples think about their miscarriage. In the practise of a gynaecologist and fertility specialist, miscarriage is one of the most difficult situation to deal with. The difficulty is not posed by the medical treatment that are needed in such a situation but by the ‘emotional’ treatment that a couple needs. The ‘emotional challenge’ lies in treating their perception of why they lost their baby. It is even more stressful if the couple had conceived after a fertility treatment (IVF / ICSI).

About 1 in 6 pregnancies will end in a miscarriage. This risk increases with the age of the women and less commonly with the age of the male partner. Thus , the risk of miscarriage is higher for an older couple than a younger pair.

Here are the myths about miscarriage that couples ought to know.

  1. Miscarriage is rare.

      Even in a younger couple ( < 35 years old)  , close to 20% will lose their pregnancy. Many lose their pregnancy during their first 12 weeks . In majority of cases, nothing can be done to prevent this because most of the miscarriages are due to genetic problems of the unborn baby. The miscarriage occurs as part of the human’s body quality control process.

2. Miscarriage is due to stressful events and lifting heavy objects.

    Once a woman is pregnant, she is often asked not to do anything except rest. Lifting any heavy objects is a big NO NO. The truth is, there is very little evidence supporting this idea. Most of the miscarriages are due to genetic problems of the foetus rather than physical exertions. Common stressful events such as death of a family member or even stressful events at work are not the reasons for miscarriage.

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Frozen Embryo Transfer: “Ice Ice Baby”

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)


Just a few days ago an article about frozen embryo transfer was published in The Star .

In summary, the article mentioned about the advantage of deferring embryo transfer to a later date (ie freezing the embryo first and do the embryo transfer later). It says that by doing so, the miscarriage rate was lower and this leads to a higher live birth rate.

I completely agree with the findings and it concur with my own clinical experience.

Currently, IVF / ICSI can be broken into 2 segments :

a) Stage 1: Ovarian stimulation, egg collectian and fertilisation

b) Stage 2: Embryo transfer

Traditionally, Stage 1 & 2 are done in the same period cycle (fresh embryo transfer). We can get reasonably good pregnancy rate with fresh embryo transfer.

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Vaccine That Will Help Infertility

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)


As many as 1 in 6 couples suffer from infertility. In current times, nearly 50% of infertility are due to female factors and the other 40-50% are due to male factors . In about 1/3 of couples, no conclusive reason can be found.

Some couples will be able to conceive with simple treatment such as an IUI (Intra-Uterine Insemination). Others may need an IVF / ICSI (In-Vitro Fertilisation / Intracytoplasmic Sperm Injection).

One of the reasons for an IVF is tubal disease, where the Fallopian tubes of the women is blocked and sometimes swollen.

Often there is a clear reason for the blockage such as previous tubal surgery for an ectopic pregnancy (pregnancy outside womb), previous gynaecological surgeries such as for an ovarian cyst and endometriosis.

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