Questions and answers

  • What is ERA?
  • The ERA test helps avoid implantation failure by establishing the best day for embryo transfer. Learn more
  • Ways to Boost Male Fertility?
    • Stop smoking or vaping, this smoke contains substances that have a harmful effect on spermatozoids.
    • Reduce consumption of alcohol to the minimum. Alcohol decreases ability of the body to produce testosterone that is essential in the formation of sperm.
    • Avoid hot bath, sauna and tight underwear. For the optimum functioning of testicles body temperature should be lower than 37°C. Do not expose your manly parts to the elevated temperature of the external environment for more than 30 minutes per week.
    • Test for the possible infections with sexually transmitted diseases. If you get infected from the partner, for example, with Chlamydia, it can cause infertility.
    • Learn to relax and improve your sleep quality. Stress affects reproductive system and fertilization ability, impacting quality of sperm and number of spermatozoids. A balanced work and life routine is very significant, also a good 8 hours sleep at night.
    • Exercise regularly in fresh air with a moderate activity at least 2 times a week, it will help to maintain your body in a good physical form and reduce the negative impact of stress. Sedentary lifestyle and excess weight significantly reduces the quality of sperm.
    • Decrease the consumption of caffeine containing drinks. Caffeine stimulates adrenal glands and causes the same effect as stress.
    • Drink sufficient amount of liquid at least 1.5 – 2.0 litres a day. Sperm requires the body to have sufficient amount of liquid as 80% of sperm consists of water.
    • Have sex regularly at least 2 times a week. Quality of sperm reduces if it is stored in the body for a prolonged period of time. Also too intense sex harms sperm.  48 hours are needed for it to restore. Do not use any kind of lubricants.
    • Include fatty fish in your diet. Fatty fish contains fatty acids necessary for the formation of qualitative sperm. It is recommended to consume mackerel, sardines, salmon etc.
    • Include vegetables and fruits in your diet. They contain vitamins, antioxidants and minerals that increase the number of spermatozoids.
    • Eat products rich in zinc and folic acid. You can find zinc in meat, fish, eggs but folic acid in leafy vegetables, legumes and wholegrain bread. If the body lacks folic acid, number of spermatozoids can reduce by 90%.
    • Quality of sperm improves if you consume sufficient amount of fruits and vegetables, grain fibres, polyunsaturated fatty acids, for example, omega-3 (fish, shell-fishes and seafood), poultry, products containing antioxidants (vitamins E, C and D, β-carotene, selenium, β-cryptoxanthin, lycopene) and folates, low fat dairy and skimmed milk.
    • Quality of sperm declines if you consume too much caffeine containing products and alcohol, sweets and sweetened drinks, saturated fatty acids (beef, goat, sheep, pork, as well as milk and butter), trans fats (margarine, fatty spreads, cookies, pies, cakes, pastries, fried products), protein (processed red meat), soya products and potatoes, cheese and whole milk products.
  • How to prepare for giving the sperm sample?
  • Please observe a certain routine before spermogram and other sperm tests:

    • Refrain from sexual activity for not less than two and not more than seven days
    • Refrain from alcohol, and preferably also smoking
    • Refrain from saunas or hot baths
    • Sperm sample should not be provided until two weeks after an antibiotic treatment or cold
    • Sperm sample is given in a designated room - with magazines and video provided
  • How to give sperm sample?
  • You can give sperm sample in Clinic EGV by scheduling appointment in advance! You can book an appointment in the Clinic or by phone: +(371) 67 278 183 or +(371) 29 563 191

    • Providing of material (sperm) in the Clinic EGV takes place in a discreet manner, observing strict confidentiality rules. Room where you can provide sperm sample is located separately from the doctor’s offices of the Clinic. Patients can use magazines and videos provided
    • Patient obtains sperm with the help of masturbation
    • You are not allowed to use lube, cream or other ointments when you obtain sperm
    • DO NOT obtain the material in the condom, also DO NOT pour the sample from the condom into the container
    • It is important to gather all sperm in the container

    Gathering sperm at home (in special cases coordinating with the Embryologist of the Clinic) and transporting to laboratory:

    • Reception employee of the Clinic EGV laboratory will provide you the container for delivery
    • Sample gathering time should be documented in a special referral form
    • Sample should be transferred to the laboratory not later than one hour after obtaining, keeping the sperm container close to the body to keep necessary temperature. Recommended place is the pocket of trousers or breast pocket or the inner pocket of jacket/coat
  • How can I receive results of sperm tests?
  • You can receive the spermogram report in the reception of Clinic EGV. Nurse – receptionist of the Clinic EGV will hand over the report to the patient after checking the identity document. If the patient has a Clinic EGV doctor’s referral to perform examination then report is handed over to the doctor treating the patient and the test results will be discussed during the patient’s visit to doctor’s office.
  • What sperm tests can I perform?
    • Spermogram
    • Sperm oxidative stress test
    • MAR test
    • HBA test
    • DNA Fragmentation test
  • How to fill out the spermogram referral form?
  • Fill out the referral form in capital letters, see the sample here: LINK
  • What is preparation of embryo for implantation in the uterus (assisted hatching)?
  • What is pre-implantation genetic diagnosis (PGD) and how does it work?
  • When should I begin using the egg donor program?
  • If we are choosing an egg donor, will the child look like me?
  • What to prefer – blastocysts or transfer of the third day embryo?
  • How the egg donors are tested?
Ask a question
Dana Leite
Fertility Treatment Coordinator (EN, RU, LV)