For men

Clinic EGV is Latvia’s first andrology centre - we offer a unique approach in treating men’s health.

At the Center of Andrology you can receive consultations about men’s fertility issues, erectile problems, and STDs. Experts perform ultrasound and dopplerography examinations of men’s genitals (including prostate, testicles and penis) and urinary tract, as well as minimally-invasive urological surgeries, surgical treatment of men’s infertility – TESE, PESA, micro TESE, MESA, recanalization of the ejaculatory duct after vasectomy, and vaso-epididymal anastomosis. The surgical treatment of male infertility uses the latest generation SOM62 surgery microscope SOM62 - German-quality and costing EUR 40k.

Center of Andrology experts help couples who undertake medicinal fertilization in at Clinic EGV, offering micro TESE treatment performed with a ground-breaking new microscope. Sometimes not a single spermatozoid in semen can conceive a baby. So during the micro TESE, we open the testicle coating and carefully perform resection of testicular tubules to obtain spermatozoids. We perform micro TESE with the latest generation microscope with very strong magnification that gives excellent viewing of all tissues - doubling the treatment’s effectiveness. We maximally reduce the risk of complications that can traumatise virile health. Clinic EGV is the only fertility clinic in Latvia that has a specific microscope with up to 28x magnification to perform this treatment.

Services

Infertility diagnostics and treatment
  • Sperm tests
  • Spermogram
  • Method is based on the macroscopic and microscopic examination of sperm according to recommendations of the WHO. Macroscopically the colour, volume, liquefaction, consistence, pH level of the sperm is evaluated. Microscopically the concentration of spermatozoa, count of spermatozoa in ejaculate, motility, agglutination and morphology of sperm, as well as presence of other cells in the ejaculate is evaluated. Read more
  • Sperm oxidative stress test
  • Oxidative stress measurement demonstrates imbalance between the total activity of oxidants and total activity of reductant that can reduce the spontaneous pregnancy and fertilization potential.

    Standard if sORP value ≤1.38 mV/10⁶/mL (English: static Oxidation Reduction Potential).

    Free radicals affecting functionality of spermatozoids constantly are created in the body due to various metabolic reactions. Formation of free radicals is caused by stress, also various substances we regularly encounter in our daily life – tobacco, alcohol, household chemicals, heavy metals, UV radiation etc.

    All spermogram markers should be analyzed in total, considering also the age and general health condition of the patient. Doctor-urologist can provide interpretation of the spermogram data.

  • MAR test
  • MAR test determines antisperm antibodies on the surface of spermatozoids that is the immunological reaction of the body against its own spermatozoids. Antisperm antibodies limit the sperm mobility in the genital tract of a woman and affect sperm-egg fusion.

    MAR test is performed only on moving spermatozoids.

    Standard, if agglutination is observed for <50% spermatozoids.

    All spermogram markers should be analyzed in total, considering also the age and general health condition of the patient. Doctor-urologist can provide interpretation of the spermogram data.

  • HBA test
  • HBA test determines the ability of spermatozoid to bind with hyaluronan located in the cover of the egg; therefore it indirectly describes the ability of the spermatozoid to attach to the egg.

    Only completely mature spermatozoids with normal morphology and minimum DNA fragmentation can attach to the egg.

    Only moving spermatozoids are evaluated with the HBA test.

    Standard if the number of spermatozoids that are binding to hyaluronan is ≥65%.

    All spermogram markers should be analyzed in total, considering also the age and general health condition of the patient. Doctor-urologist can provide interpretation of the spermogram data.

  • DNA Fragmentation test
  • DNA fragmentation test is performed to determine structural damages of spermatozoid DNA that could delay implantation of embryo, increase risk of miscarriage, as well as facilitate hereditary pathologies for the progeny.

    DNA fragmentation test is used to evaluate the probability of spontaneous pregnancy and In vitro fertilization.

    Standard if spermatozoids with DNA fragmentation are <30%:

    • 15 - 30% good fertility potential
    • <15% very high fertility potential
    You can reduce DNA fragmentation by changing lifestyle, eating habits, quitting smoking and in separate cases also consuming more antioxidants.

    All spermogram markers should be analyzed in total, considering also the age and general health condition of the patient. Doctor-urologist can provide interpretation of the spermogram data.

  • Donor sperm
  • Men's fertility diagnostics
  • Men's fertility operative treatment
  • Sperm bank
Men's reproductive health

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Dana Leite
Fertility Treatment Coordinator (EN, RU, LV)