The essence and decoding MAP test

What is the MAP test

March test - is one of the tests, which is prescribed to determine the cause of male infertility.

As a rule, in patients it raises many questions. Most often wonder what is the MAP test, how the test is performed decoding of what the result should be the norm and what is the difference test of semen.

The difference between the MAP test and semen analysis

Semen, March are the main tests that are prescribed for suspected male infertility. Semen analysis to determine such important indicators as the number of sperm in the semen and their motility.

Also evaluated semen viscosity, its acid-alkaline balance and color. However, this analysis is incomplete with respect to the surface.

In many cases, deciphering semen analysis, the doctor sees that it demonstrates the norm, but the pregnancy does not occur at the same time.

In such circumstances there is a need to investigate the immunological parameters of semen. It is this conduct caused MAP test.

Its features allow a deeper analysis of the sperm's ability to fertilize. In fact, its essence stands in the title.

It comes from the English abbreviation mar, which in its entirety would be translated as "mixed agglutinative reaction."

Mar test provides the ability to calculate the percentage of sperm that are covered with sperm antibodies - proteins particularly difficult.

The fact is that sometimes the man's body produces antibodies that attack sperm, because their immune system is perceived as alien. Spermogramma perceives spermatozoa from antibody coated as normal.

In fact, their activity is much lower, and it greatly reduces the chance of pregnancy. Mar test helps to uncover the problem.

The reasons for which the body begins to attack its own cells, may be different. They are the most likely:

• various injuries which could cause disruption of the natural barrier between blood vessels and seed channels;
• surgery on the genitals, if they led to the same consequences as the injury;
• infections of various kinds;
• diseases of the genitourinary system.

Decoding test

The question of how to decipher the mar test, causes the greatest interest of patients. As a rule, in a medical facility will provide comprehensive answers. For the full description of a qualified technician.

"The MAP test - the norm" - such a result would mean that the antibodies were not detected in the semen. When the response received by the patient, so that the mar test has a negative result, can also be considered, that everything is fine, if found sperm, coated with anti-shell, then the percentage does not exceed 50. It is believed that this is the norm.

When a negative test, the chances of an offensive desired pregnancy are quite large, as seed fluid retained sufficient number of free spermatozoa capable of fertilization egg.

If mar test is negative, it indicates that you need to look for other explanations as to why no pregnancy occurs.

If the transcript showed that the test is positive, it means that the morphology of the broken more than half of the sperm, which gives grounds to speak about the likelihood of immunological male infertility.

The higher the percentage specified in the test results, the lower the chance of paternity. The important point is the fact that using the MAP test is possible to determine the place where it is attached antibodies.

Worst of all, when they are fixed on the head of the sperm.

What is 100% in March or mar test? This result suggests that the onset of a natural pregnancy the couple is practically impossible. In such cases, doctors recommend to resort to artificial insemination procedure.

To obtain the most reliable results the patient should take seriously the preparation for analysis. To this end, the doctors give the following advice:

• to abstain from sexual intercourse for at least two days;
• do not drink alcohol and do not smoke during the seven days before the procedure;
• not to take any medicines;
• avoid stress and fatigue;
• do not use the sauna or steam bath;
• sleep well.

March test for sperm, as well as for the semen, obtained by masturbation were collected into a sterile container. In the laboratory it should be delivered no later than one hour.

Keep container must be warm. Usually, the results can be found on the following day. Typically, the test is carried out twice with an interval of 14 days.

This is done in order to get the most reliable results.

The possibility of successful conception depends equally from both parents. Recently, more and more couples can not have a child because of a man's health problems. As a rule, the fertility of the stronger sex depends on the quality of sperm. namely the quantity and mobility of his sperm.

According to statistics, almost half of cases of male infertility caused by a breach in the development or function of male sex cells. One important element of the treatment of this phenomenon - the correct diagnosis of the seminal fluid, which allows you to determine the cause reproductive disorders and to develop tactics of therapy.

The most common diagnostic methods of sperm is considered a MAP test and semen analysis.

MAP test - the analysis that is carried out in the laboratory to determine the number of sperm incapable of fertilization, due to the fact that they are coated with anti-antibodies (ACAT).

This study is the main method of diagnosis of infertility among the stronger sex and reveals the male sex cells with normal mobility, but unsuitable for successful conception.

Standard semen analysis - semen, does not always provide the necessary information to establish reproductive ability of men, so the additional holding appointed in such cases MAP test.

When it is shown holding mar-test?

By the indications for this analysis are:

• male infertility;
• preparation of procedures of artificial fertilization;
• planning to become pregnant;
• effect of infections and viruses on the reproductive function of men;
• bonding between a sperm.

In some cases, the MAP test is not carried out, among them:

• a complete lack of male cells in the ejaculate;
• motile spermatozoa in the ejaculate insufficient to determine their characteristics.

What does this study?

MAP test, as well as semen. It makes it possible to diagnose the stronger sex decreased ability to fertilize by studying the properties of sperm. After the meeting andrologist sees the real causes of male infertility, it puts a clear diagnosis and predicts the likelihood of natural conception.

With the help of the MAP test, you can set:

• sperm motility level;
• Morphology of cells;
• classes of sexual gametes, depending on their activity;
• sperm viability;
• the presence of immune infertility;
• leukocyte content;
• type and viscosity of the semen;
• semen acidity and its volume.

Sperm analysis to determine characteristics in general and its chemical composition in particular. Given that such a disease as immune infertility, has recently become quite popular, holding the MAP test is assigned more often.

The semen is different from the MAP test?

These are the basic methods of determining the ability of men to reproduction. Semen is a relatively superficial analysis, not allowing the doctor to get a full picture of the properties of the ejaculate.

Thus, it often happens that the transcript of semen contains a good performance, but fertilization does not occur. In this case, the need for further in-depth studies, showing the immunological characteristics of the ejaculate, which can only give the MAP test.

A feature of this research is in-depth analysis of fertility men, revealing the number of sperm, sperm antibodies coated. Thus, in some cases, the male produces specific antibodies that destroy the germ cells, seeing them as foreign objects. As a result, many cells lose the ability to fertilize, while maintaining mobility.

Semen is not able to distinguish between fertile movable sexual gametes from infertile, so the problem remains unsolved.

The factors that contribute to the production of antibodies by the body attacking sperm, are:

• injuries caused destruction of boundaries between seeds channels and blood vessels;
• surgery, cause the same complications as the injury;
• various infections;
• diseases affecting the sexual organs and excretory systems in men.

If the immune system is functioning normally, such problems do not arise, and antibodies affect only cells of foreign origin. However, in case of deviations from the norm due to the above reasons, special proteins start to break down sexual gametes produced by your own body.

How to take the MAP test?

The analysis is done in two ways: direct and indirect research. The first involves analysis smermy, the second - the serum.

Direct study provides more information than the indirect, so often used.

However, preferable to do both tests together, because together they provide the most complete information about the status of the male cells and complement each other.

Typically, the MAP test and semen analysis performed simultaneously. Ejaculate for these analyzes is going in the same way - by masturbation. Both studies were produced from a single serving, so take the material again is not required.

Prior to analysis, sperm must follow certain rules:

• a few days before the study should be limited to interaction with toxic substances. For example, if a man working in conditions involving contact with chemicals, the test is best performed after 2-3 days off;
• during the week before the collection of the ejaculate is recommended to abstain from sexual contact, since the sperm can be present female sexual microflora;
• 3-4 hours prior to the test is non-smoking;
• a week before to take the analysis, it is necessary to exclude the use of alcoholic beverages;
• hormonal drugs for six months prior to the survey can distort the results;
• before the analysis necessary to ensure that the body enough sleep;
• semen and IDA-study is not conducted during the treatment of inflammatory processes in the urogenital system of men;
• a day before the analysis is necessary to limit the physical and emotional strain of the organism;

• the results of the study were as faithful, for 7-10 days is recommended to stop taking any drugs and dietary supplements;
• is necessary to exclude the sauna for 10 days prior to the test;
• if the man had been ill with acute respiratory infections, the study should be moved no less than a week after full recovery.

The container in which the collected material must pass the necessary sterilization and into the laboratory no more than 40-60 minutes after collection.

If this time is exceeded, the male sex cells may die or change their morphological structure, which significantly affect the results of the study. In addition, the container with the seminal fluid can not be cooled in order not to change its properties.

In most cases, transcript analysis can be found on the next day after the date. For maximum reliability of the test is recommended to repeat his conduct after 2 weeks.

analysis

After the delivery of the material he sent to a laboratory where, using special methods and equipment, revealed the number of active sperm.

For the study requires two elements:

• solution of latex beads containing a human immunoglobulin (IgA class, IgG);
• to a solution of antiserum (IgG).

The semen sample is mixed with a solution, after which the resulting mixture was added IgG-antiserum. Introduced particles stick together with sperm, which are coated with a shell of ACAT. The percentage of the obtained association would indicate the probability of infertility immune factor.

Deciphering the MAP test

Decryption lets you know the reproductive ability of men on the basis of his study of the ejaculate.

If the result is negative - is the norm analysis and indicators are favorable for fertilization. In this case, the ejaculate is a sufficient number of sperm able to conceive. When the result is positive - the chances of successful fertilization is very small.

A positive test indicates a deviation from the norm more than 50% of the sperm, which is the basis for suspected immunological infertility in men. The percentage of the research results is inversely proportional to the chances of successful fatherhood.

A negative figure from the survey occurs when the percentage of the result does not exceed the value of 50. The smaller this rate, the higher the reproductive ability of men.

Even the detection of sperm with developmental disabilities, if their number is less than half of the total, it can be argued that fertilization is possible. Medical content rate of cells with defects is less than 10%.

Explanation result "MAP test - rate" includes the complete absence of sperm unable to fertilize or low content of such cells without exceeding the permissible value.

If a positive test result is close to 100%, so pregnancy in a natural way is almost impossible. Decision in this situation are modern methods of assisted reproduction, such as ICSI.

MAP test - laboratory test, which is widely used for the diagnosis of seminal fluid and determine the causes of infertility in men. In conjunction with semen analysis, this analysis enables us to obtain a complete picture of the patient's reproductive abilities. MAP tests to determine the transcript of the factors that reduce fertility, and to develop the most appropriate treatment regimen.

A source: http://MyHome23.ru/5030

The essence of the IDA and the test transcript

In most cases, presented a method for men is unclear and unknown. That is why in this article we will try to sort out all the issues that you may have.

The difference between the MAP test and semen analysis

Mar and spermogrammu prescribed whenever doctors suspect a patient infertility. With semen can determine the mobility of sperm, their number, the color of sperm, its acid-alkaline balance and strength. Whatever it was, it presented the test is superficial. With its help to uncover the causes of infertility is sometimes almost impossible.

That is why you should switch to the study of immunological parameters of semen. A case in point is a maar test. The ability of the sperm in such a situation will be explored much more fully. As for the name, the MAR from the English translates as "agglutinative Mixed reaction".

Mar test reveals the number of sperm, sperm antibodies coated. In some cases, the patient's body can produce antibodies directed against the spermatozoa (immunity in such cases considers them something alien).

Semen considers sperm, which are covered with a shell of antibodies to normal. In fact, in these situations, the level of activity of these essential elements is drastically reduced. Needless to say, this can lead to infertility.

Fortunately, the problem can be presented easily solved by Mar test.

Man's body attacks its own cells, which are not alien, for very different reasons. A list of the main reasons include the following:

• Various diseases affecting the functioning of the urogenital system;
• Various infectious diseases;
• genital operation;
• Injury violating natural barrier between the seed channels and blood vessels.

Decoding test

Men are actively interested in how you can decipher Mar tests. In most cases, doctors give full conclusions, on which you can successfully build the appropriate treatment.

If the result is considered normal, the antibodies in the semen there. If a negative result, It is considered that should not take urgent action (in such situations, the percentage of sperm cells, coated with anti-shell, not more than half).

When the negative results of the likelihood of achieving pregnancy are high. The thing is that the number of free spermatozoa, performing its functions in the seminal fluid enough.

With a negative result, the test Mar doctors begin to look for other reasons, because of which the pregnancy does not occur.

A positive test It indicates the following: in more than 50% of the sperm are irregularities in morphology. This may well be the cause of infertility.

The higher the percentage, the less chance a man has to have a baby. The MAP test provides an opportunity to identify areas where it is produced the attachment of antibodies.

If these elements are fixed on the head of the sperm cell, then the situation will be extremely difficult.

100% in March - the result saying that a woman of such men can not become pregnant. Typically, in such situations, doctors suggest to use artificial insemination.

do not neglect medical recommendationsRelating to the preparation for analysis. These are the following rules:

• Try to sleep well;
• It is impossible to visit the baths;
• Avoid fatigue and stress;
• Do not take medications;
• Do not smoke and abstain from alcoholic beverages. All this should take about a week;
• Refuse to have sex at least two days.

A source: https://www.aginskaya.ru/diagnostika/sut-i-rasshifrovka-mar-testa

MAR-test. When? What for? And most importantly how? - March test is what it is

It has been a few posts and repeated the question to me, I have to deal with the discussion MAR-test. And it seems to me that not everyone understands what it is, what is done and importantly how to do it.

In addition we discussed the problems of semen http://www.babyblog.ru/community/post/conception/896813 let's touch on such serious topics as immune infertility. Immediately it should say that this is the most serious variant of infertile marriages, because the organism to resist the possibility of pregnancy.

Why is there such a situation that she like and how to fight it? The immune system is our body's keeper, features her very much, she takes part in the fertilization process, but we are with you are interested in a particular case, when there is violation of its normal functioning and the immune system produces antibodies (these are specific proteins that can similarly compare them with a pack of hunting dogs) on sperm. For all whom I consulted on this issue was the discovery of the fact that the immune infertility are two types and they are fundamentally different. By the way, not all doctors are aware of the duality of this mechanism. So, there are immune infertility, infertility and autoimmune there are two big differences. Immune infertility is a condition in which a woman's body produces antibodies to sperm sex partner, autoimmune infertility is a condition in which a man's body produces antibodies to their own sperm. As you probably know in the first case it is necessary to help the woman, and the second man, and not vice versa.

First, I will explain why in general the immune system so eagerly rushes to poor sperm. The fact that the sperm is terribly foreign to the body's genetic mutant).

All the usual our body cells have a full set of 46 chromosomes, and this is characteristic of man as a biological species, other creatures number of chromosomes quite different and this constant is the basic dogma integrity of the genome (the entire set of genetic information of an organism), for each living being (in bent). How many chromosomes in germ cells, ie, and in the same sperm? Exactly half - 23, that would be half of the chromosomes inherited from her mother, half from Dad, well, or there... So for the immune system is a terrible thing, the body's cells with an abnormal number of chromosomes!!! Well this is the genetic enemy spy! But nature is tricky and that would prevent such incidents, it is shuts organs of the reproductive system special barrier does not allow for such recognition.

As appears immune infertility - a major trigger mechanisms is damaged mucosal integrity female genitals. Normal mucosa does not allow the sperm to adjoin the circulatory system and which is for the main immune mechanisms vehicle.

Damage can occur from a variety of reasons, most often it is a chronic inflammatory disease, erosive processes, traumatic injury. If the female immune system "works" on the sperm produced by sperm antibodies that bind sperm and do not give them to move.

As there is an autoimmune infertility in men - before the start of the period of puberty, sperm precursor cells called spermatids, a normal set of chromosomes, written 46, XY.

Upon the occurrence of puberty is triggered mechanism of the so-called meiosis, the cell division, when wherein in the final stage of cell division is not obtained with the same set of two written 46, XY, and four 23X-23X-23U-23U. Here is the actual mechanism is the basis of spermatogenesis.

Normally, this group of cells separated by a special barrier that prevents the immune system to recognize the "abnormal" number of chromosomes. As a result, a number of reasons - a chronic inflammatory disease, cystic transformation, injuries, etc.

This barrier may be broken and thus there is a similar situation to the above-described antibody production. The result is the same, sperm bound hand and foot.

If you appoint a study of sperm antibodies, ask your doctor - one of the spouses he suspects the presence of sperm antibodies and therefore, just for no reason, no reason at all, they do not produced.

We now turn to the diagnosis. Men holding MAR-test should be carried out if there is evidence of sperm agglutination (is a separate column in the form spermiologicheskogo study). As held. There are direct and indirect test. Straight wire with semen, indirect blood plasma. The first is preferable.

The women - a direct test - cervical mucus, indirect - blood plasma. Direct test is preferable. In addition postcoital tests can be conducted. At the same time it estimated how much sperm bind to the cervical mucus.

There are two kinds of tests: sample Shuvarskogo-Sims-Hyunera - in the days preceding ovulation, in within 12 hours after intercourse of vaginal discharge is studied and evaluated mobility sperm in it.

Sample Kurtsroka-Miller in the days preceding ovulation in a woman's cervical mucus is taken, a man rents a sperm sample, is estimated vzaimodestvie two biological substrates.

Tried to write clear, hope to get)

PS: Yes, I expect the questions to the egg can also be autoimmune antibodies

PPS: And the tradition that be the end ...

According to a survey conducted by experts, about 15% of British women admitted that at least one child in the family is conceived not from her husband

Links to related articles. Contact Information http://www.babyblog.ru/user/androlog_child/1384877

A source: https://www.BabyBlog.ru/community/post/conception/982121

MAP test: what it is, how to make, decoding the received results

To determine the percentage of normal sperm to the total use of the MAP test and semen analysis. Such testing would reveal the percentage of sperm that can take part in fertilization. determine or disprove immunological male infertility with the help of this test.

Why you need to take

Why the need for the MAP test: it allows you to determine if there is in the body of a man antibodies to sperm or not. If they are detected, then diagnosed with autoimmune infertility. But it will be necessary retake analysis after 2 weeks for a final diagnosis.

The main indications for the following analysis:

1. Infertility in men.
2. conception planning.
3. The negative impact on men's health before illness.
4. Bonding sperm.
5. Preparation for ICSI, IVF, artificial insemination.
6. Prostatitis.
7. Hormonal disorders.
8. Injuries genitals.
9. Lack of sperm motility.

test species

IgG and IgA antibodies are of great clinical importance. The first comes from the blood, the latter - locally produced. If large numbers of IgA was found, it constitutes a violation of blood-testis barrier. After 2-3 weeks after the recovery amount of IgA is on the wane. These antibodies can be detected in seminal plasma or sperm, they will cover.

14 days after the violation of blood-testis barrier marked oversupply of IgG, which can be stored up to a year.

Conduct tests and IgA MAR Mar IgG. Taken biomaterial is mixed with latex particles or blood cells. Thereafter administered IgG antiserum.

Result - introduced particles begin to stick together with sperm that covers ACAT. So experts can determine the likelihood of immune infertility.

The best option would be to direct and indirect test - checking the seminal fluid and blood plasma analysis.

Preparation for analysis

Must be abandoned for 3-5 days prior to the study of alcohol and medicines. should not go to the bath, saunaSince when overheating killed sperm. Before any test is necessary to avoid stress, anxiety. Be sure to refrain from sexual intercourse. Oily and spicy foods should be excluded from the diet.

Basic rules biomaterial collection:

1. They ejaculate obtained by masturbation.
2. The sterile disposable plastic container to be collected all the sperm emitted during ejaculation.
3. The container with the sperm is desirable to deliver to the laboratory for 20 minutes. since the collecting material. On the capacity you need to specify the exact time of ejaculation.
4. When transporting sperm temperature must be equal to body temperature. It is therefore necessary to avoid extremes of temperature.
5. The biomaterial can not be obtained by oral, interrupted sexual intercourse or condom.

The analysis results can be obtained quickly enough, often the next day after it makes a MAP test. Recommended 2 weeks to retake the test to verify the accuracy of the result. If the first and second delivery of the result will be the same, then it is considered valid.

Decoding performance

Decoding analysis should deal only with qualified personnel. When decoding is determined mounting location antisperm antibodies. The head of the sperm - the most unfavorable place to fix them.

To test MAR-semen semen volume should normally be up to 4 ml, sperm viscosity - 0.5 cm. In 1 ml of semen sperm concentration should normally be in excess of 20 million. The number of live sperm must be greater than 50%, their morphology - over 20%, the number of germ cells - up to 2%.

Negative MAP test result shows a good value, the positive - poor. In the first case the active component of motile sperm should be up to 50%, in the second - over. Norm of sperm with antisperm envelope - up to 10%. It turns out that the lower the score, the better. Therefore, the MAP test 0 percent means that a man can be a father.

If a positive test result, talk about the immune infertility. In this case, you must visit a doctor with the results of research. Perhaps a specialist will direct for further examination, the results of which will provide more information and allow prescribe treatment, contributing to an increase in fertility.

IDA negative test means that the probability of conception is high enough, as in the seminal fluid contains sperm capable of fertilization. A positive result indicates that most of the sperm is broken structure. The lower the percentage, the farther it is from the norm and, therefore, less likely to fatherhood.

A source: https://uromens.ru/diagnostika/kak-delayut-mar-test

What is the MAR test, what it is, how to make and stands (limit of normal)

Currently, the number of couples who can not conceive naturally offspring is growing steadily. To identify the causes of infertility, various laboratory tests. Among reliable tests that determine the quality of semen, called the MAP test.

He reveals, first and foremost, an autoimmune cause of infertility as a consequence of the defeat of sperm antibodies. Sperm with impaired protective barrier excluded from the fertilization process.

With a significant number of the affected sperm natural conception is possible only in exceptional cases.

The method of characteristics

MAR test is a laboratory method of research that identify the autoimmune causes of male infertility. Quiz spermogrammu provided use it as the only embodiment in this case is not effective because spermogramma allows only to identify the whole picture.

Currently, there are two main options for the MAP tests:

To carry out a direct MAR test, as well as for semen takes delivery of biological materials of this kind, the male semen, female cervical mucus. In order to pass the indirect MAR or Hemotest, it is necessary to take a blood plasma study is to determine the titer of anti-sperm antibodies and identify the bodies.

Normal levels of decoding the MAP test is negative, indicating the absence of sperm in which antibodies are found. In this case, the semen quality in men allows to conceive a child. When interpreting a positive result, that is, if it shows the presence of immunoglobulin in the bodies of sperm, providing treatment is required.

Indications for study

For what purpose are conducted MAR test and semen analysis, why do this research, how often it should be carried out and how to pass? MAP testing is required in carrying out if the couple can not conceive a child for several months.

The main symptom of a dough passage are unsuccessful attempts of conceiving a child.

In the absence of overt disease pathologies and required a study with its subsequent decoding, determines the quality of sperm, it is determined whether it is correct. The main indications for testing are:

1. When planning a pregnancy.
2. Infertility.
3. Stage of preparation for the artificial insemination.

In most cases, the MAP testing needs to be done as a secondary study, after receiving the results of semen analysis and availability of suspicions that the antibodies are present in the tissues of the sperm.

Hold it does not make sense in that case, if a portion of the ejaculate spermatozoa are completely absent or present in small quantities according to the definition of semen.

Such a state of seminal fluid initially attests to the impossibility of natural conception.

rules of preparation

How reliable decoding method MAR? As the reviews, the results of decoding MAR test, as well as semen can not be true that if a man will not comply with the plan of preparation for delivery analysis. In just a few days prior to sampling of biological material, he must abide by the following rules:

• Exclude any sex for two to five days prior to the date of semen.
• Avoid physical exertion.
• It is not recommended to attend bath, sauna, take a bath.
• Exclude taking any medicines. If you take medications necessary for medical reasons, you should tell your doctor who will do the MAP tests, what treatment is necessary.
• Avoid consuming alcoholic drinks, smoking, as well as receiving other drugs.

Before delivery of the sperm is not recommended to attend bath and sauna.

Also an important point in the preparation for the MAR test is a psycho-emotional state man.

conduct

Collecting of sperm for in vitro MAP conducted by masturbation, thus it is possible as a stand or sit.

The resulting semen is placed in a sterile container, whereupon it is delivered to the laboratory for analyzing and decoding results.

MAR carry out an analysis should not be later than an hour after collection of the ejaculate, otherwise morphology of semen may change, and the transcript does not reflect the real picture.

With decryption MAR test can obtain complete data about the quality of semen, such as:

1. The morphological structure of the male ejaculate.
2. The mobility of the individual sperm.
3. The presence or absence of immune infertility.
4. The volume of semen as well as its acidity.
5. The ability of sperm to life.
6. Type ejaculate.
7. Viscosity.
8. The presence of white blood cells.

As mentioned above, most of the appointment of the MAP test is a secondary procedure after the semen or produced together.

MAP tests to determine the ability of men to conceive, or lack thereof.

IDA negative test result indicates that antibodies are not present in the tissues of the sperm and the positive says that the quality of seminal fluid makes it unfit to conceive.

https://www.youtube.com/watch? v = LJz5USlVfW0

Most often, the procedure is performed after the semen or in conjunction with it.

If a positive test number IDA antibodies affected any motility lost for other reasons sperm exceeds 50% of spermatozoa. With a negative number unsuitable for fertilization of sperm, respectively, less than half of the total.

Even with the negative results of the MAP test decryption are nuances of man's ability to fertilize.

According to accepted standards, man has full capability to conception in the event that this parameter affected sperm below 10%.

The above said marker, the less chance of natural conception. However, they are present, and need the healing process.

The lack of positive results in the treatment process and the need for artificial insemination exist if the fixed rate of sperm, according to the definition MAR test results and semen, close to 100%. In other situations, carrying out medical treatment may help improve sperm quality.

where to go

When the need of almost every man interested in the question of the following nature: where and how much to pass MAP test.

The price of this service may vary slightly depending on the region and the specifics of the medical institution where the practice of MAR tests and semen.

For example, in an independent medical laboratory Invitro cost MAR igg test is about 1100 rubles.

In addition, almost all branches invitro laboratories offer conducting MAR igg (symbols MAR igg test indicate the method carried out by research) in conjunction with the analysis of semen at a relatively low price. The cost of this service varies between one and a half thousand rubles. The price may be slightly higher in large cities.

MAP tests and semen analysis are among the most reliable results, allowing to obtain comprehensive data on the quality of sperm and the ability of man to conceive. It is on the basis of the received desired treatment option usually selected data promoting normalization and quality of semen.

A source: https://egopik.ru/fertilitatem/diagnosis/mar-test

MAP test: what it is, why rent, decoding results:

If there are men with problems conceiving a child, or in his spermogramme doctors detect aggregation or agglutination, he may designate a MAP test. What it is, and it shows how to take it? Let's try to answer these questions.

For what it is - the MAP test?

As we already know, this test may be given in the event of problems with conceiving a child. The essence of this method lies in the fact that a physician may use it to determine the number of gametes movable (able to conceive) in the ejaculate. It may also be used and other biomaterial, blood from a vein, mucous substance women with cervical surface.

There are several types of tests: indirect and direct:

1. In the indirect test uses blood plasma.
2. In a direct test examined semen or cervical mucus.

In either case, the analysis of the results will be accurate, and doctors will be able to determine the percentage of healthy and ready sperm for fertilization of gametes and joined with enzymes in biological fluids (e.g., anti-spermatozoa bodies).

MAP test: what is it for?

Carrying out such an analysis makes it possible to confirm or disprove immunological infertility men. If the analysis reveals that adhere to sperm antibodies in the human body, the infertility is confirmed.

Why? Because of the presence of sperm antibodies become inactive and can not overcome the commonplace distance to the egg. In some cases the amount of free antibody gametes becomes so small that the probability of fertilization is reduced to zero.

Then put the diagnosis "infertility."

Infertility in men and women

The problem with this disease is that the body of a man or woman sees sperm as foreign bodies. As a result, it produces antibodies that neutralize them. Or rather, do not neutralize, and attach to sperm and restrict their movement.

This makes them less mobile. Similar sperm on semen analysis are defined as perfectly healthy. Therefore, after the analysis of semen MAP test also physicians prescribe, since it is able to confirm or deny the presence of antibodies.

Without it, no doctor can make a diagnosis "infertility."

So now we understand more precisely, it shows the MAP test. It reflects the exact number of sperm cells, which are connected to the protein. This indicator allows to draw a conclusion as to whether the possibility remained of a man to impregnate his wife's or not. If healthy motile sperm will be in sufficient quantities, it means that fertilization should be no problems.

Analysis of mucous substances woman

If a couple for a long time it is impossible to conceive, the problem may be a woman. There are situations where antibodies stick to the male gametes in the female body.

And if a man has the number of motile sperm is enough? It is necessary to examine the cervical mucous female substance. It may be that her immune system produces protective body to the sperm of the partner. As a result, treatment is required not only women but also men.

By the way, doctors often recommend an analysis immediately after sexual contact that will yield the most accurate results.

Indications for

Most often, the study limited to ejaculate semen analysis. This is the most common study, and many patients are well aware of it. But do not understand what it is - the MAP test. He further appointed after the semen. For its passage must be certain prerequisites:

1. Suspected infertility and the fact of having the disease. In this case, the test allows you to control the treatment process and to determine the effectiveness of the use of prescribed drugs.
2. Inflammation or injury of the reproductive system, which can provoke the development of this disease.
3. Carrying out surgical operations in the genital area.
4. Revealing the results of semen motility weak gamete or sperm agglutination.
5. Preparation for artificial insemination.
6. Preparing for pregnancy and wish to pair to be checked prior to conception.

In these circumstances, doctors are paying increased attention to the quality of semen, so appoint such an analysis, which allows to determine fertility.

cost analysis

Now that you understand what it is - the MAP test, you can specify the cost of the analysis. Note that it is carried out, many private clinics, therefore, the price of this service is different.

For example, the cost of this test in the popular laboratory "Invitro" now stands at 1300 rubles. In the laboratory, "IDC" price is 1000 rubles, "Vitry-clinics" have to pay 990 rubles, Orange Clinic - 1500 rubles.

Prices are at the end of 2017, and are subject to change. As you have seen, the average cost of analysis is 1100-1200 rubles. Separately, the doctor will have to pay for the MAP test, decryption, and treatment assignment. Although do not have to, if observed in a public hospital.

Letting the MAP test

Many hospitals have a laboratory which carries out the relevant tests. The procedure itself is quite simple.

In clinics or laboratories have a room where the man himself collects semen through masturbation.

Gather material at home can only be achieved if there is an opportunity to bring it to the laboratory for two hours, as the need to explore fresh sperm.

Also, before the delivery of the material need to be trained. It is necessary to ensure that test results are accurate, and treatment - effective. In particular, we are talking about the following requirements for patients:

1. A week before the analysis can not drink alcoholic beverages. Smoking should be removed a week before the delivery of the material. And indeed, it is not recommended intake of harmful fatty or fried foods.
2. Before the delivery of sperm a man should give up sex for 2-3 days before delivery of the analysis.
3. A week before the delivery can not go to the sauna, take a hot bath as fever harm sperm. As a result of the analysis may be inaccurate.
4. You also can not take certain medications one week prior to delivery. Pre-need to consult the doctor.

Sperm quality is affected by many factors, including the high temperature of the air outside, bad habits, eating spicy and fried foods, stress, emotions. Therefore, life must be put in order, and only then you can take the material for analysis. So the research results will be accurate, allowing to choose the right method of treatment.

What does such a test?

Although the MAP test transcript held by a physician, patients themselves will be able to understand whether all with them in order. Poor, if the number of bonded sperm is more than 25% of the total. This means that the MAP test is positive and the chance to conceive a child is reduced. The larger the percentage of slow-moving sperm, the worse. This will tell the attending physician.

Of course, if 25% of the sperm are sperm antibodies, the test is positive, though, but the chances of conceiving a patient still remain. In some cases, this figure rises to 100%, which actually nullifies the possibility of fertilization.

If the body less than 25% of sperm stuck together, it means that the MAP test is negative and the male reproductive function all right. With such an analysis is appropriate to examine the cervical mucous female substance.

If there are problems with conception and a negative test, the man has a high probability of a positive test at the fairer sex.

If it is found that the MAP test is negative, it means that it is fully capable of fertilization and pregnancy.

However, in various forums can be read what women able to conceive even when IDA assay 100% (full immune infertility). However, all of these pregnancies are interrupted.

Is it possible fertilization?

Now you understand what it is - the MAP test, its expansion and the method of delivery. It is worth noting that if the patient has such an analysis is entirely positive, it does not mean that he can not have children.

There is a special method of treatment of infertility ICSI, where the sperm of the future father introduced into the woman's uterus using artificial special tools: the microneedle, a microscope and a joystick, which allows to translate hand movements in the microscopic motion instruments.

Embryos that were obtained by means of such a procedure, developed normally, and children born after ICSI, not lagging behind in mental or physical abilities of children conceived naturally.

A source: https://www.syl.ru/article/355019/mar-test-chto-eto-takoe-dlya-chego-sdayut-rasshifrovka-rezultatov