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  • Operating Hours

    Mondays to Fridays: 8am to 5pm
    Saturdays: 8am to 1pm
    Sundays and Public Holidays: CLOSED

  • KL Fertility Centre

    LG Lot 23A, 25, 26, 27 & 30 DC MALL,
    No 6 Jalan Damanlela, Bukit Damansara,
    50490 Kuala Lumpur, Malaysia.

    TELEPHONE
    +603 2780 4288

    FAX
    +603 2780 4299

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    Male Infertility Investigation

    Noticing Unusual Symptoms?
    One Test can Lead to Answers and Better Fertility Outcomes

    Illustration for MIP Investigation

    A structured investigation helps identify factors that may affect male fertility and guide appropriate treatment.

    • Semen analysis (Sperm Test)

      The basic male infertility investigation is a sperm test. The test is done after an abstinence period (no ejaculation) of about 3-5 days. 

      In a well equipped andrology laboratory, there are 3 basic parameters that are of concern. These parameters are reported according to World Health Organisation (WHO) standards. 

      • Sperm Count
        A normal sperm count is at least 15 million sperm per millilitre (15 × 106/mL) or a total of 39 million per ejaculate. Lower counts (known as oligospermia) may indicate fertility issues which may or may not be reversible.

      • Motility
        This parameter looks at the movement of the sperm. At least 40% of the sperms should be moving. The movements are further graded according to how fast it moves and direction of the sperm movements.

      • Morphology
        This parameter looks at how normal a physical shape of a sperm looks like. This is done under high powered microscope. At least 4% (you read it correctly!) of the sperms should be normal-looking to be considered “ normal ”.

      Based on the sperm test, male fertility can be classified as:

      • Normospermia : Normal test results
      • Oligozoospermia : Low sperm concentration
      • Azoospermia : Absence of sperm
      • Asthenozoospermia : Low motility
      • Teratozoospermia : Low in normal morphology
      • Oligoasthenoteratozoospermia (OAT) : Combined fertility condition where there is low sperm count, poor sperm motility, and abnormal sperm morphology.

    • Hormonal Test

      Blood tests may be conducted to check hormone levels that support sperm production. These commonly include measurements of:

      • Follicle-stimulating hormone (FSH)
      • Luteinising hormone (LH)
      • Testosterone

    • Imaging Test

      In selected cases, imaging such as a scrotal ultrasound may be recommended to examine the testicles and surrounding structures. This can help identify physical conditions that may affect fertility.

    • Diagnostic Surgical Procedures

      For certain conditions, additional procedures such as sperm mapping or diagnostic testicular sperm extraction (TESA) may be used.

      The findings from these investigations allow the fertility specialist to determine whether there are barriers to sperm production, quality, or delivery and to recommend appropriate management. This may include further evaluation, lifestyle guidance, medical therapy, or procedures in more complex cases.

    FAQs 

    You should consider testing if:

    • You have been unable to conceive for >12 months (or >6 months if partner is over 35)
    • You have a known medical condition
    • You have a history of testicular injury or surgery

    You should avoid ejaculation for 3 to 5 days before the test. This helps ensure the most accurate results. Avoid alcohol, smoking, and excessive heat exposure (such as saunas) before your test if possible. Your fertility specialist will provide specific preparation instructions before your appointment.

    For the most accurate and reliable results, it is best to produce the sample at the centre. This ensures the sample is handled and processed immediately once it is obtained. Handling the sample in a controlled laboratory environment helps to maintain sperm quality and reduces the risk of degradation or loss.

    Producing the sample on-site also provides better security, traceability, and proper handling, especially for fertility testing and treatment purposes.

    In certain situations, and only with permission from your fertility specialist, a home-collected sample may be allowed. 

    Your fertility specialist will advise you on the safest and most appropriate option based on your individual case.

    No, the sperm test is non-invasive and not painful. It involves providing a semen sample, usually through masturbation in a private room at the centre.

    Abnormal results do not always mean infertility. Your fertility specialist may:

    • Recommend a repeat test (as results may vary)
    • Suggest lifestyle changes
    • Order additional tests, such as hormone tests or imaging
    • Discuss possible treatment options

    In many cases, YES. 
    Treatment depends on the cause and may include:

    • Lifestyle changes
    • Medication or hormone therapy
    • Minor surgical procedures
    • Assisted reproductive techniques such as IVF or ICSI

    Your fertility specialist will recommend the most appropriate approach based on your assessment results.

    Sperm test results are typically available within the same day or a few working days, depending on the type of analysis performed. 

    Your fertility specialist will review and explain the results during your consultation.

    Male Fertility Assessment is RM199, inclusive of 

    • 1 × Semen Analysis 

    • 1 × Consultation (explanation of the results)

    For the most up-to-date pricing or to schedule your assessment, please contact our team.

    Table of Content

    Male Infertility