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Total motile spermatozoa (TMS) [25] or total motile sperm count (TMSC) [26] is a combination of sperm count, motility and volume, measuring how many million sperm cells in an entire ejaculate are motile. Use of approximately 20 million sperm of motility grade c or d in ICI, and 5 million ones in IUI may be an approximate recommendation.
Fertility testing for men involves semen testing and genetic testing, as other factors such as impotence are obvious. Semen can be tested for sperm count , sperm motility , sperm morphology , pH , volume, fructose content, and acrosome activity.
The postcoital test (PCT), also known as the Sims test, Hühner test ,Sims–Hühner test, or cervical mucous penetration assay is a test in the evaluation of infertility. The test examines interaction between sperm and mucus of the cervix .
The sperm–cervical mucus contact test is an in-vitro slide test used for detecting antispermal antibodies. [1] It is one of the investigations done for infertility. It should not be confused with Kurzrock–Miller test, where there is interface between the two materials; whereas in this test the materials are thoroughly mixed.
Percutaneous epididymal sperm aspiration (PESA) is a technique used to determine sperm counts in the event of a possible blockage of the vas deferens. It is an alternative to microepidydimal sperm aspiration (MESA), and aims to address the technical difficulty and cost of MESA. [ 1 ]
In a review of 1,890 patients who had sperm retrieval results compared with aspiration found that testicular sperm extraction (TESE) with multiple biopsies was 2-fold more effective at finding sperm and microTESE (a microsurgical search for sperm within the testis) was 1.5-fold more effective at finding sperm [25] From a review n=159 cases of ...
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A 2022 meta-analysis reported that this decline extends to non-Western countries, namely those in Asia, Africa, Central America, and South America. [95] This meta-analysis also suggests that the decline in sperm counts may be accelerating. [95] This decline in male fertility is the subject of research and debate.