by Dr Agilan Arjunan , Fertility Specialist , KL Fertility Centre (Malaysia)
Have you ever gone through a fertility assessment before?
For those who had done it , you know that it can initially look very complicated with all those internal ultrasound scans, blood tests, x-ray tests and sperm test. For those who have not, rest easy as all those tests are simplified for you.
Fertility test are divided into 2 , tests for female and test for male partner.
For a man , the most important test is a semen analysis (sperm test). About a third of couples has a major problem 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 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 low chance to conceive.
What is looked for in a sperm test ?
by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)
Hi ! We meet again in another of our educational ‘story’.
Many of you may be familiar with the 2003 movie ‘Pirates of The Caribbean : The Curse of The Black Pearl’. The curse of the Aztec King made the pirates, who stole the golds, undead and miserable.
Let me tell you of another curse that existed long ago that till today plagues our women…The curse of the Fibroid.
According to medical history, in the periods of Hippocrates in 460-375 BC , it was known as ‘uterine stone’. The first surgery for fibroid was done for the American President Abraham Lincoln’s cousin in 1809. The term fibroid was introduced in 1860.
Many women has fibroid , so what is the curse?
by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre ( Malaysia)
Mrs M walked into the clinic with her beautiful daughter Maya, aged 5 . She is a happily married woman and conceived Maya within their first 6 months of marriage. Her pregnancy was well and Maya was delivered via a caesarean delivery.
The obvious question popped up in my mind, “ How can I help you ?”
“ Well one ain’t enough and we have been trying for a second child for the past one and a half years. I just don’t understand why i am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again ?”
She is just one out of many women who find it difficult to believe that they are struggling for a second child or what is medically known as secondary subfertility.
What leads to secondary subfertility ? Let’s find out why.
By Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)
‘Male infertility is on the rise’, that’s a fact that many men realise now. However, the bigger question is WHY ?
Are we (the males) doing something wrong or are we not doing something right that is giving rise to male infertility in recent years.
Let us look at what can lead to male infertility . Generally, the causes of male infertility can be broadly divided into :
a) Sperm production problems
b) Sperm transport blockage problems
c) Sexual problems
d) Hormonal and sperm antibody problem (rare)
Worldwide statistics and from my own experience managing male infertility, the majority of men have either sperm production or blockage of sperm transport pathway or a combination of both.
By Dr Agilan Arjunan, KL Fertility Centre (Malaysia)
Male infertility is beginning to be recognised as a major cause of infertility. At least 40% – 50% of IVF cases are due to male infertility such as poor sperm quality or azoospermia (no sperm ).
Listen to Dr Agilan’s interview about male infertility. Watch here.