Male Fertility Evaluation

Understanding Male Fertility

Male fertility depends on healthy sperm production, proper hormone levels, and unobstructed reproductive pathways.
Any disruption in these functions can reduce the ability to achieve pregnancy — and it is more common than many realize.

At Saga Clinic Tirana, Dr. Eser Agar provides a structured and evidence-based evaluation to identify the exact cause of male infertility and guide couples toward effective treatment options.

Why Male Fertility Evaluation Matters

Infertility affects both partners equally — in about 40–50% of cases, a male factor contributes to the difficulty.
A complete male evaluation is crucial for:

• Understanding sperm quantity and quality
• Identifying hormonal or genetic causes
• Choosing the correct treatment pathway
• Avoiding unnecessary procedures for the female partner

Male fertility testing is simple, fast, and highly informative.

When Should a Man Be Evaluated?

Evaluation is recommended when:

• Pregnancy has not occurred after 1 year of trying if the woman is under 35
• Or 6 months if the woman is over 35
• There is a known male reproductive issue
• There is a history of undescended testes, surgery, or trauma
• Sexual dysfunction is present
• There are signs of hormonal imbalance (low libido, fatigue, low muscle mass)

Components of Male Fertility Evaluation at Saga Clinic

1. Comprehensive Medical & Sexual History

We begin by reviewing:

• Medical and surgical history
• Childhood conditions (e.g., mumps orchitis)
• Sexual function and frequency
• Lifestyle factors (smoking, alcohol, heat exposure)
• Previous fertility outcomes
• Medication use

This provides context for all test results.

2. Semen Analysis (Sperm Test)

This is the most important test in male fertility evaluation.

We examine:

• Sperm count (concentration)
• Motility (movement)
• Morphology (shape)
• Volume and viscosity
• Signs of infection or inflammation

A second confirmatory test may be needed due to natural variability.

3. Hormonal Evaluation

Hormones regulate sperm production and sexual function.
We test:

• FSH – spermatogenesis
• LH
• Testosterone (total and free)
• Prolactin
• TSH / Thyroid panel
• Estradiol (if hormonal imbalance is suspected)

Abnormalities help identify treatable causes.

4. Scrotal Ultrasound

This imaging method assesses:

• Varicocele (common cause of low sperm motility)
• Testicular size and structure
• Epididymal cysts or blockages
• Fluid collections (hydrocele)
• Blood flow

Ultrasound is painless and highly informative.

5. Genetic Testing (If Indicated)

Recommended when sperm count is very low or absent:

• Y-chromosome microdeletion testing
• Karyotype (chromosomal abnormalities)
• Cystic fibrosis gene testing (for congenital absence of vas deferens)

These results guide the most realistic and effective fertility plan.

6. Additional Tests

Used selectively depending on symptoms and results:

• Infection screening (STIs)
• Anti-sperm antibodies
• Testicular biopsy (rare; for azoospermia evaluation)

Treatment Planning

After evaluating all results, Dr. Eser Agar creates an individualized plan that may include:

Lifestyle & Medical Management

• Improving nutrition, exercise, sleep
• Eliminating heat exposure, smoking, alcohol
• Treating infections
• Hormonal therapies when indicated

Procedural or Surgical Treatments

• Varicocele repair
• Treatment of blocked ducts
• TESE / Micro-TESE for sperm retrieval

Assisted Reproductive Techniques

• IUI if mild male factor
• IVF / ICSI for moderate to severe male factor
• Using retrieved sperm (TESE) when necessary

The goal is always to maximize natural fertility first, and then guide couples toward effective assisted options when needed.

Why Choose Saga Clinic for Male Fertility Assessment?

• Complete and confidential testing
• Modern ultrasound and laboratory services
• Clear explanation of each step
• Evidence-based treatment
• Supportive and non-judgmental care
• Direct evaluation by Dr. Eser Agar

Male fertility assessment is simple — but absolutely critical for successful pregnancy planning.

Appointments and Contact

If you need a complete male fertility evaluation, we are here to guide you with accuracy, compassion, and discretion.
Contact Saga Clinic Tirana to schedule your appointment.

Contact & Appointments

For appointment requests or medical inquiries, please contact us using the options below.

📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Friday 09:00–15:30, Saturday 09:00–14:00.

💬 WhatsApp (Outside Office Hours)
+355 69 456 4467
Available outside office hours via WhatsApp Message only.

Update date: 07.01.2026 00:59