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Male Infertility Diagnostic. Hospital Prices, Ranking, Reviews - Bookinghealth

Diagnostic of Male Infertility abroad

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Urology Clinic Munich-Planegg Munich
Best choice

Department of Adult and Pediatric Urology, Andrology

The Department of Urology annually examines more than 910 men with fertility problems. After comprehensive diagnosis and detection of causes of infertility, specialists select optimal treatment, including drug therapy or minimally invasive surgical interventions. The department is headed by Prof. Dr. med. Martin Kriegmair, who is a member of the German Society of Urology, as well as of the European and American Association of Urologists.

Martin Kriegmair
Prof. Dr. med.Martin Kriegmair
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Department of Adult and Pediatric Urology, Andrology

The Department of Adult and Pediatric Urology, Andrology offers the full range of services in the areas of its specialization. Men and boys with diseases of the reproductive system can be diagnosed and treated in the medical facility. Doctors also treat infertility and erectile dysfunction. Medical care is provided to men and women with diseases of the urinary system, namely kidneys, ureters, bladder, and urethra. The department is certified as the Prostate Cancer Center by the German Cancer Society (DKG), which indicates the excellent quality of the services provided in this area. The department's urologists have a perfect command of the innovative treatment methods, including holmium laser enucleation of the prostate (HoLEP), photodynamic therapy, and da Vinci robot-assisted surgery. The department employs comprehensively trained and experienced doctors who apply advanced medical achievements in their practice. Each patient is provided with an individual approach, considering their specific needs and wishes.

Christian Georg Stief
Prof. Dr. med.Christian Georg Stief
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Charite University Hospital Berlin
Specialized hospital

Department of Adult and Pediatric Urology

According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department offers all types of modern diagnostic and therapeutic services for patients with urologic diseases. Of particular interest is the treatment of urogenital tumors in men and urogynecological diseases. The department also specializes in kidney transplantation, which is carried out within the specialized center. This center is the largest in Germany and Europe and annually demonstrates high treatment success rates. In addition, the department's competence covers the treatment of urological problems in boys of all age groups.

Thorsten Schlomm
Prof. Dr. med.Thorsten Schlomm
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University Hospital Heidelberg
Specialized hospital

Department of Adult and Pediatric Urology

According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department offers the full range of diagnostics and treatment of the urinary system in men and boys. The department has a long history, rich traditions, and is also a recognized center of excellence in the treatment of all urological diseases. The department specializes in the treatment of malignant urological diseases, reconstructive surgery, pediatric urology, treatment of urinary tract dysfunction and kidney stone disease.

Markus Hohenfellner
Prof. Dr. med.Markus Hohenfellner
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University Hospital Frankfurt am Main
Specialized hospital

Department of Urology

According to the Focus magazine, the Department of Urology ranks among the top German medical institutions specializing in prostate cancer treatment! The department offers the full range of high-precision diagnostic studies and effective therapeutic options for men with diseases of the genitourinary system. The doctors of the department specialize in the treatment of prostate cancer, benign prostatic hyperplasia, kidney, testicular cancers, urolithiasis, erectile dysfunction and urinary incontinence. There are also excellent qualifications in the field of reconstructive urology.

Felix Kyoung-Hwan Chun
Prof. Dr. med.Felix Kyoung-Hwan Chun
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University Hospital RWTH Aachen
Specialized hospital

Department of Adult and Pediatric Urology

According to the Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department offers services for the diagnostics and treatment of diseases of the kidneys, urinary tract and pathologies of the reproductive organs in men. The therapeutic options are complemented by the treatment of urological problems in children. The department's doctors focus on the patients with oncopathologies (prostate cancer, renal cell cancer, bladder cancer, testicular cancer). Of particular interest is minimally invasive therapy of stones in the kidneys, ureters and bladder. The doctors have in their arsenal conventional and the very latest conservative, drug and surgical therapies, which allow them to achieve the best result in clinical cases of varying severity.

Thomas-Alexander Vögeli
Prof. Dr. med.Thomas-Alexander Vögeli
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University Hospital Rechts der Isar Munich
Specialized hospital

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology provides high-precision diagnostics and effective treatment of the full range of diseases of the kidneys, urinary tract, bladder, prostate, testicles and their appendages, vas deferens and penis. The treatment of urologic cancers is of particular interest. The focus of pediatric urologists is on young patients with congenital and acquired malformations of the genitourinary system. The department has its in-house advanced operating rooms, an X-ray unit, and two stations with 57 beds. The high quality of medical care is confirmed by many prestigious certificates, including the DEKRA certificate and the certificate of the European Board of Urology. As one of the best urologic facilities in Germany and a leading urology clinic in Munich, the department has been offering patients the daVinci robot-assisted surgery since 2009, which has many advantages for patients: minimal pain, speedy recovery, the highest level of precision compared to conventional surgical interventions.

Jürgen Gschwend
Prof. Dr. med.Jürgen Gschwend
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University Hospital Tuebingen
Specialized hospital

Department of Urology

According to the Focus magazine, the Department of Urology is included in the ranking of the top German departments for prostate cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the kidneys, bladder and urinary tract, male genital organs. The department has advanced experience in urologic surgery and is one of the most reputable medical institutions specializing in the treatment of benign and malignant prostate diseases. In 2009, the department was certified by the German Cancer Society as the Prostate Cancer Center.

Arnulf Stenzl
Prof. Dr. med.Arnulf Stenzl
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University Hospital Halle (Saale)
Specialized hospital

Department of Reproductive Medicine and Andrology

The Department of Reproductive Medicine and Andrology offers the full range of options for the diagnostics and treatment of infertility, hormonal disorders, reduced libido, including erectile dysfunction. The patients receive medical care from an experienced medical team, consisting of highly qualified gynecologists, endocrinologists, andrologists and experts in the field of reproductive medicine. A unique offer of the department is the cryopreservation of oocytes and spermatozoa for planning future pregnancy (for example, in case of somatic pathology or chemoradiotherapy).

Hermann Behre
Prof. Dr. med.Hermann Behre
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University Hospital Muenster
Specialized hospital

University Hospital Muenster

Overall rating 9.8 / 10

Department of Adult and Pediatric Urology

According to Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in the treatment of prostate cancer! The department offers the full range of diagnostics and treatment of diseases of the kidneys, urinary tract, as well as male reproductive organs in children and adults. The specialization covers the treatment of dysfunctions, acute injuries and inflammation, as well as the correction of complex malformations and treatment of cancers of the genitourinary system and male reproductive organs. Thanks to the unique competence of doctors, the department guarantees the highest standards of conservative and surgical treatment of urological pathologies.

Andres Jan Schrader
Prof. Dr. med.Andres Jan Schrader
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University Hospital Giessen UKGM
Specialized hospital

Department of Adult and Pediatric Urology, Andrology

The Department of Adult and Pediatric Urology, Andrology offers the full range of diagnostic and therapeutic services for patients with pathologies of the genitourinary system, including andrological disorders. The department has 47 beds for inpatient treatment. The department annually serves more than 2,300 inpatients and about 1,300 outpatients. The medical team of the department consists of highly qualified employees who have a perfect command of classical and innovative therapeutic methods, thanks to which they achieve high rates of treatment success.

Florian Wagenlehner
Prof. Dr. med.Florian Wagenlehner
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Department of Reproductive Medicine

The Department of Reproductive Medicine offers all the modern options for the diagnostics and treatment of infertility in men and women. The department has state-of-the-art equipment and techniques, such as intracytoplasmic morphologically selected sperm injection (IMSI), CASA computer system, Polscope technology, embryoscopy and many others. The department's reproductologists regularly demonstrate excellent results in IVF procedure.

R.K. Sharma
Dr. med.R.K. Sharma
Hospital Harlaching Munich

Hospital Harlaching Munich

Overall rating 9.2 / 10

Department of Adult and Pediatric Urology

The Department of Adult and Pediatric Urology offers the full range of modern conservative and surgical treatments for patients with diseases of the kidneys, ureters, bladder and reproductive male organs. Of particular interest is the treatment of kidney, bladder and prostate cancers. The priority areas of the department’s clinical practice also include the treatment of kidney stone disease, urinary tract obstruction, urinary incontinence and erectile dysfunction. The department’s medical team deals with the treatment of young patients with congenital and acquired urologic pathologies. To provide optimal medical care for the patients with kidney diseases, urologists cooperate closely with the Department of Nephrology. The department offers such advanced therapeutic methods as HIFU therapy for prostate cancer and Greenlight laser therapy for the treatment of benign prostatic hyperplasia. These methods are among the very latest developments in the field of modern urology and allow the doctors to achieve outstanding treatment results. The department annually treats more than 2,500 patients with clinical cases of varying severity.

Oliver Reich
Prof. Dr. med.Oliver Reich
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Hospital Cologne-Holweide

Hospital Cologne-Holweide

Overall rating 8.9 / 10

Department of Adult and Pediatric Urology, Andrology

The Department of Adult and Pediatric Urology, Andrology provides the full range of services for the diagnostics and treatment of urologic diseases. The medical facility specializes in conservative and surgical treatment of diseases of the kidneys, ureters, bladder, urethra, and male reproductive system. An important area of competence of the department's team of urologists is the treatment of kidney cancer, bladder cancer, prostate cancer, and testicular cancer. The department has two advanced operating rooms: one is adapted for complex open surgery, and the other has equipment for transurethral and endoscopic interventions. Many minor surgical procedures are performed on an outpatient basis without a mandatory hospital stay. Patients are also offered the services of a qualified team of andrologists who are responsible for providing medical care to men suffering from infertility, erectile dysfunction, hypogonadism, and other pathologies. The department's doctors are experienced specialists who always strive to find an optimal solution to health problems and provide patients with high-quality treatment.

Joachim Leissner
PD Dr. med.Joachim Leissner
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Klinik im Park Zurich

Klinik im Park Zurich

Overall rating 8.9 / 10

Department of Urology

The Department of Urology at the Hospital in Park focuses on the needs of the patient and aims to find the right therapy for every patient after a detailed investigation. The service range of the centre includes the diagnosis and treatment of diseases of the kidney, ureter, bladder, prostate, penis and testicles. The department maintains a close interdisciplinary collaboration and achieved individual treatment of patients with urological diseases in this way.

Fredi Furrer
Dr. med.Fredi Furrer
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Department of Adult and Pediatric Urology

According to the reputable Focus magazine, the Department of Adult and Pediatric Urology ranks among the top German medical facilities specializing in prostate cancer treatment! The department's medical team offers the full range of diagnostic and therapeutic services for patients with urinary diseases and men with genital diseases. The department also deals with the treatment of young patients with urologic diseases. The primary focus of the department's clinical practice is the treatment of malignant tumors of the kidneys, bladder, prostate, testicles and penis. The department's doctors also have successful experience in the treatment of urinary incontinence in men and women. The department performs comprehensive diagnostics and microsurgical interventions to treat male infertility. In addition, the therapeutic options of the medical facility are complemented by the treatment of kidney stone disease, prostate adenoma and erectile dysfunction. The availability of high-tech operating rooms and modern medical equipment in the department allows providing effective treatment even in particularly complex clinical cases.

Eduard Becht
Prof. Dr. med. Dr.h.c.Eduard Becht
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Approximately 15% of married couples face the problem of infertility. This term refers to the absence of a spontaneous pregnancy within 12 months of regular sexual intercourse without the use of contraceptives. Approximately 40% of cases of infertility are due to a male factor, and in another 10% of cases,both spouses have impaired fertility. Thus, if there are problems with conception, the probability of male infertility is about 50%. Most cases are treatable. Diagnostic of male infertility plays a key role in the fight against this problem since it is necessary to find out the cause of reproductive dysfunction for a successful treatment. If you have encountered difficulties while trying to conceive, you can undergo your diagnostics abroad at one of the best hospitals in the world. You are welcome to use the Booking Health service to find the cost of treatment and choose a medical care program at a specialized hospital.

Content

  1. Male infertility diagnostics objectives
  2. Types of male infertility
  3. Semen analysis for male infertility
  4. Other methods of diagnostics for patients with infertility
  5. Endocrine male infertility diagnostics
  6. Genetic diagnostics
  7. Where to undergo male infertility diagnostics?

Male infertility diagnostics objectives

 

The main tasks of a diagnostic survey for men with infertility include:

  • confirmation of the fact of infertility;
  • identification of the cause of infertility;
  • assessment of treatment prospects;
  • determination of indications for different treatment options or overcoming infertility.

In the vast majority of cases, a man can get rid of problems with his reproductive system after a course of conservative treatment, less often after surgery or through the use of assisted reproductive technologies. Very rarely, mainly due to genetic problems, a married couple has to resort to IVF with donor sperm.

Types of male infertility

 

The diagnostics of infertility only says that conception is impossible at the moment. However, the term does not provide any information about the reasons and mechanisms of fertility disorders. At least laboratory diagnostics are required to clarify this information, and instrumental diagnostics are often required as well.

There are hundreds of diseases and conditions that can interfere with fertility. Primary testicular dysfunction (testicular failure) is the most common cause of poor reproductive health. This condition can be caused by a huge number of factors, including:

  • congenital anomalies in the development of the testicles;
  • undescended testicle (cryptorchidism);
  • varicocele (dilated veins);
  • previous surgery;
  • consequences of testicular inflammation;
  • testicular torsion and partial tissue death due to poor blood supply;
  • testicular tumors;
  • testicular injuries;
  • genetic syndromes;
  • the influence of drugs and toxins;
  • severe diseases of the internal organs.

In the case of insufficient testicular function, the production of testosterone is impaired, and the maturation of spermatozoa worsens.

There is also a secondary testicular dysfunction. Testosterone production is also regulated by other hormones. Therefore, many endocrine diseases reduce fertility, for example, the increased production of prolactin, pituitary gonadotropic hormone deficiency, or thyroid dysfunction.

Infertility may be obstructive. In this case, the spermatozoa mature but cannot enter the urethra and female genital tract due to the presence of mechanical obstacles. They are detected at the level of the testis, epididymis, vas deferens, or ejaculatory ducts. In some cases, obstruction is amenable to surgical treatment, and in other cases, only IVF will help.

Semen analysis for male infertility

 

A spermogram is the first test that men take to assess their reproductive function. Based on its results, it becomes clear whether there is infertility or not. If the semen analysis is normal, doctors can focus on examining the woman. Should there be any deviations detected, in-depth diagnostics of male infertility is carried out to determine the reasons.

The main spermogram indicators are as follows:

  • ejaculate volume;
  • total sperm count;
  • spermatozoa concentration in 1 ml of semen;
  • sperm motility;
  • the structure of spermatozoa;
  • time for semen liquefaction;
  • pH;
  • the number of leukocytes.

A MAR test is usually conducted along with the spermogram. It is aimed at detecting or excluding immunological infertility. With the help of this survey, doctors can assess how many sperm cells are coated with antibodies. If they are less than half, conception is possible. If more than half of the spermatozoa are covered with antibodies, this indicates that the blood-testis barrier is broken. Immune factors penetrate from the systemic circulation into the testicles, damage, and immobilize spermatozoa. It is unlikely that it will be possible to reduce the number of antibodies, and therefore, in such cases, artificial fertilization of the egg is carried out using assisted reproductive technologies.

Other methods of diagnostics for patients with infertility

 

Based on the spermogram results, doctors can judge the presence of infertility and even suspect what it is related to, which gives a doctor promising directions for further diagnostics. If a man has impaired fertility, other tests can be carried out to determine the cause of disorders:

  • a complete blood count to determine sex hormone and other hormone levels;
  • infection smears and blood tests;
  • an assessment of the prostatic fluid and prostate ultrasound;
  • an in-depth semen analysis that may include a biochemical analysis, a more rigorous assessment of morphology, a DNA fragmentation test, and other tests;
  • a testicular biopsy;
  • genetic tests;
  • a brain MRI;
  • ultrasound scans of the thyroid and adrenal glands;
  • medical imaging of other organs using ultrasound, CT, or MRI scans.

Not every man will need all these tests, as some of them are carried out only if clinically indicated.

Endocrine male infertility diagnostics

 

Male infertility is most often associated with an impairment of the secretion of hormones or their excess. For the diagnostics of the endocrine infertility factor in men, doctors detect hormone levels in the blood such as testosterone, estradiol, prolactin, FSH, LH, TSH, cortisol and sex hormone-binding globulin.

The most common cause of infertility is hypogonadism, a condition characterized by reduced testosterone production. Low levels of the main male sex hormone is most often caused by primary testicular dysfunction. Less often, it can be caused by an impairment of the formation of hormones in the hypothalamus, which should stimulate the production of testosterone in the testicles. These are gonadotropins, namely FSH and LH. When they are deficient, hypogonadism (testosterone deficiency) is secondary and the condition is treated differently.

Other common causes of endocrine infertility are hyperprolactinemia (increased production of prolactin) and hypothyroidism (low thyroid function). These states are interrelated. Hypothyroidism causes hyperprolactinemia in 40% of cases.

By FSH levels, doctors can also distinguish between obstructive and secretory infertility. If FSH levels are normal, and testosterone levels are not low, the testicles are performing their function normally. Possibly, the low content of spermatozoa in the ejaculate or their absence is associated with obstructive infertility. If FSH levels are elevated, this is a sign of testicular dysfunction.

Genetic diagnostics

 

In a small percentage of cases, infertility in men occurs due to the reasons caused by genetics. However, these cases are the most unfavorable and are not always amenable to correction, even with the help of assisted reproductive technologies. More than 3,000 genes are known to affect fertility. The most common disorders are chromosomal rearrangements, deletions of the AZF portion of the Y chromosome, and mutations in the CFTR gene.

Doctors abroad use the following methods for the diagnostics of genetic infertility:

  • karyotyping;
  • a molecular cytogenetic analysis of sperm by FISH method;
  • a targeted test of genes associated with syndromic forms of azoospermia;
  • exome/genome sequencing;
  • a chromosomal microarray analysis can be used in the postnatal and prenatal diagnosis of chromosomal diseases, including microdeletion and microduplication syndromes.

Where to undergo male infertility diagnostics?

 

Accurate diagnostics of infertility is no less important than treatment. If the cause of male fertility problems cannot be identified, the chances of a successful solution to the problem are low. The errors made during the diagnostics can lead to incorrect therapy or overtreatment. Therefore, it is better to be examined at specialized centers with vast experience. It would be a perfect choice to go abroad. High-quality and accurate diagnostics and treatment abroad will help you to restore your reproductive function or get pregnant with the help of assisted reproductive technologies.

There are a few reasons for you to undergo your diagnostics abroad:

  • the cause of infertility can be identified in more than 70% of cases;
  • doctors use the latest types of tests, which are more accurate than the similar outdated ones;
  • genetic infertility can be successfully diagnosed and cured in many cases;
  • hospitals abroad use state-of-the-art equipment for imaging the organs of the endocrine and genital systems;
  • you can undergo your infertility treatment, the effectiveness of which exceeds 90%, immediately after your diagnostics abroad.

You are welcome to use the Booking Health service to find the cost of treatment. On our website, you can choose a medical care program and make your treatment appointment at the best price. Please leave your request on the Booking Health website to get a consultation. Our specialists will help you to select the best hospital for your male infertility diagnostics and treatment. When making your treatment appointment through the Booking Health service, the cost of treatment will be lower due to the lack of additional fees for foreign patients.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

National Center for Biotechnology

Healthline

Verywell Health