Urology

The Essential Role of Andrology in Your Fertility Journey Precision Diagnostics for Male Factor Infertility Surgical Sperm Retrieval: Hope for Azoospermia FAQ's

Urology and andrology at Gynatal Clinic (Timișoara) specialize in diagnosing and treating male infertility, a condition affecting 1 in 3 infertile couples.

Led by experts like Dr. Tucicovschi Vlad, we provide advanced diagnostics including spermograms, Halosperm DNA fragmentation tests, and surgical sperm retrieval (TESE/PESA).

The Essential Role of Andrology in Your Fertility Journey

Male fertility is a sensitive indicator of a man’s general health, hormonal balance, and even longevity. At Gynatal, we move beyond the standard spermogram to investigate the "invisible" barriers to conception. Since sperm cells regenerate approximately every 74 to 90 days, many male factor issues can be significantly improved through targeted medical intervention and lifestyle optimization.

Precision Diagnostics for Male Factor Infertility

We minimize patient anxiety by providing a streamlined, four-step evaluation process at our Timișoara clinic:

Specialized Semen Analysis (Spermiogram)

The cornerstone of diagnosis, measuring concentration, motility, and morphology.

Standard Spermogram
Spermogram with Processing
Halosperm Test: Evaluates Sperm DNA Fragmentation. High fragmentation levels can lead to embryo developmental arrest and recurrent miscarriages, even if the standard spermogram appears normal.

Advanced Imaging and Clinical Exams

Scrotal and Doppler Ultrasound: To detect varicoceles (dilated veins) or structural abnormalities that impair sperm production.
Transrectal Ultrasound: Assessing prostate health and identifying obstructions in the sperm pathways.
Physical andrological examination: assessement of testicular size, consistency and the presence of varicoceles or other clinical findings affecting fertility
Medical history review: evaluating previous surgeries, infections, medications, lifestyle factors and reproductive history to guide further investigations

Hormonal and Genetic Screening

Hormonal profile: FSH, LH, testosterone, prolactin, estradiol and TSH to assess testicular and endocrine function
Genetic testing: karyotyping and Y – chromosome microdeletion analysis for severe oligozoospermia or azoosperia
CFTR gene testing: when congenital absence of the vas deferens or obstructive azoospermia is suspected
Personalized treatment planning

Surgical Sperm Retrieval: Hope for Azoospermia

For men with no sperm in the ejaculate, our urology team, led by Dr. Tucicovschi Vlad, performs minimally invasive procedures to retrieve viable gametes directly from the source:

PESA / TESA: Needle aspiration from the epididymis or testicle, ideal for obstructive azoospermia.

TESE (Testicular Sperm Extraction): A small biopsy to find "foci" of sperm production in non-obstructive cases. The Gynatal Edge: Once retrieved, these sperm can be used in ICSI or IMSI (6000x magnification) to achieve fertilization rates comparable to normal samples.

Frequently Asked Questions (FAQ)

Are male fertility tests painful?

Most assessments, including spermograms and blood tests, are completely painless. Ultrasounds are non-invasive, and surgical retrievals are performed under local anesthesia or light sedation for total comfort.

How long does it take to see improvements in sperm quality?

Because it takes about 3 months for new sperm to mature, improvements following lifestyle changes or medical treatment are typically seen in a follow-up spermogram 90 days later.