It would seem logical that, as part of a child project, a health check is offered to men before pregnancy. In fact, this preconception assessment focuses mainly on the health and history of women. However, as we know, the role of man is essential in conception, both at the level of fertilization and at the level of transmission of the genetic heritage. For this reason, it is crucial to take stock of men’s health before conception to:
- Preserve their reproductive health by adopting a healthy lifestyle.
- Identify certain risk factors for infertility.
- Screen for certain communicable conditions.
At Balance Fertility, when a couple embarks on a PMA treatment, the advice on health before conception seems to us as important for men as for women. We explain to you why and you can check this website for getting more information.
Why do a man’s pre-pregnancy health check-up?
In everyday life, people are more likely to talk about how women’s physical health affects their fertility. Yet the impact of men’s health on pregnancy is equally important. Indeed, family history and current behavior have as much impact on the reproductive health of women as on that of men.
If a pregnancy lasts 9 months, its preparation must be anticipated in advance. During this preconception period, we advise our patients to make some lifestyle improvements in order to maximize their chance of achieving their child project. Establishing a healthy lifestyle, adopting the right attitudes to preserve your fertility and maintain a healthy weight are among the health recommendations during pregnancy planning , valid for men as well as for women.
Pre-conception consultation and health check-up for men before pregnancy
To optimize the chances of success for our patients, we need to establish their fertility results. This health checkup dedicated to men takes place before pregnancy as part of the first consultation organized by Balance Fertility centers. At this point, they check:
- Reproductive history.
- Medical history.
- The treatments already carried out or in progress at the time of the consultation.
To probe the fertility of men, we recommend:
The realization of a spermogram in order to assess the quality and quantity of the male gametes. Even if this analysis has already been carried out in the past, it remains essential, because the results may vary over time.
Prescribing examinations to rule out any risk of hereditary diseases (karyotype) or infectious diseases (hepatitis, AIDS, syphilis, etc.).
In certain specifics, other exams can complement this assessment. These include:
- A testicular biopsy, consisting in taking sperm inside the testicle, requested in case of azoospermia (total absence of sperm in the sperm).
- Analysis of hormonal assays providing indications on the concentration of FSH (follicle stimulating hormone), LH (luteinizing hormone), testosterone, prolactin and inhibin B.
- A testicular ultrasound, prescribed in case of suspected genital infection, hypospermia (ejaculate of small volume) or azoospermia.
Advice on health before pregnancy for men
The first consultation organized in Balance Fertility clinics is therefore an opportunity to take stock of the couple’s fertility. In general, when a couple has difficulty conceiving, infertility problems come from 30% from the male partner , 30% from the female partner and 40% from a combination of both partners or from idiopathic causes (factor unknown).