Dr. Salleha Binti Khalid
Pakar O&G (Kesuburan/Fertility)
MRCOG (UK), MSc Health Science (UK)
O&G Specialist (Fertility)
MRCOG (UK), MSc Health Science (UK)
Datuk Dr. Wan Ahmad Hazim
Pakar Perunding O&G
BSc. Med, MD, Masters O&G (UKM)
Consultant O&G Specialist
BSc. Med, MD, Masters O&G (UKM)
Setiap kali berbual tentang soal zuriat, telunjuk selalunya akan terarah kepada pihak isteri. Si isteri akan mula memborong pelbagai jenis susu kesuburan, asid folik, mengurut sengkak rahim, dan memantau waktu subur setiap hari. Apabila ujian UPT masih negatif, isteri akan menangis menyalahkan rahimnya.
Berhenti menyalahkan diri sendiri! Fakta perubatan yang ramai pasangan terlepas pandang adalah: Masalah sukar hamil bukanlah 100% berpunca dari wanita. Hampir 40% hingga 50% daripada kes ketidaksuburan (infertility) berpunca daripada pihak LELAKI.
Suami Nampak Sihat, Tak Bermakna Subur
Ramai suami merasa segan, ego, atau takut untuk membuat ujian kesuburan. Mereka beranggapan, "Saya sihat, tubuh sasa, tiada masalah tenaga batin. Mustahil sperma saya bermasalah."
Ini adalah satu mitos besar. Kemampuan untuk melakukan hubungan intim (ereksi) sama sekali tidak melambangkan kualiti air mani. Seorang lelaki boleh kelihatan sangat sihat di luar, namun mempunyai sperma yang sifar, cacat, atau pergerakannya terlalu lemah untuk berenang mencari ovum isteri.
Whenever the topic of conceiving comes up, the finger is almost always pointed at the wife. The wife will start buying various fertility milks, folic acid, going for traditional massages, and tracking her ovulation daily. When the pregnancy test is still negative, she cries, blaming her womb.
Stop blaming yourself! The medical fact that many couples overlook is this: Infertility is not 100% a woman's problem. Nearly 40% to 50% of infertility cases are due to the MALE factor.
Looking Healthy Doesn't Mean Fertile
Many husbands feel shy, let their ego get in the way, or are afraid to undergo fertility testing. They assume, "I am healthy, physically fit, and have no erectile dysfunction. It's impossible that my sperm has issues."
This is a massive myth. The ability to perform intimately (erection) does not in any way reflect the quality of semen. A man can look completely healthy on the outside, yet have zero sperm, abnormally shaped sperm, or sperm that are too weak to swim to the wife's egg.
Faktor Musuh Kesuburan Suami Yang Biasa Berlaku:
Common Enemies of Male Fertility:
- Merokok & Vape: Toksin dari rokok dan vape terbukti secara klinikal merosakkan DNA sperma dan melemahkan kelajuan renangannya.
- Suhu Panas Di Kawasan Testis: Kerap memakai seluar dalam yang terlalu ketat, kerap berendam air panas, atau meletakkan laptop di atas paha.
- Obesiti / Berat Badan Berlebihan: Lemak berlebihan mengubah hormon testosteron lelaki kepada estrogen (hormon wanita), lalu merencatkan penghasilan sperma.
- Varikokel (Varicocele): Urat simpul (bengkak) di dalam kantung testis yang menyebabkan suhu testis meningkat.
- Stres Kerja & Kurang Tidur: Tekanan mental yang tinggi membantutkan penghasilan hormon yang mengawal kilang sperma.
- Smoking & Vaping: Toxins from cigarettes and vape are clinically proven to damage sperm DNA and reduce their swimming motility.
- High Heat Around the Testes: Frequently wearing tight underwear, soaking in hot tubs, or constantly placing a laptop on the lap.
- Obesity / Overweight: Excess fat converts male testosterone into estrogen (female hormone), suppressing sperm production.
- Varicocele: Enlarged veins in the scrotum that cause the temperature of the testes to rise unnaturally.
- Work Stress & Sleep Deprivation: High mental stress stunts the production of hormones that regulate the sperm factory.
Langkah Pertama: Ujian SFA (Semen Analysis)
Jika anda telah mencuba untuk hamil selama 1 tahun (atau 6 bulan jika isteri berumur 35 tahun ke atas), sudah tiba masanya untuk berjumpa Pakar Kesuburan secara berpasangan. Sangat tidak adil jika isteri terpaksa menelan pelbagai jenis ubat subur dan disuntik sana-sini, rupa-rupanya masalah berpunca dari pihak suami.
Ujian kesuburan lelaki adalah sangat mudah, murah, dan langsung tidak menyakitkan. Suami hanya perlu memberikan sampel air mani (Ujian Seminal Fluid Analysis - SFA). Makmal kami akan menganalisis 3 perkara utama: Kiraan Sperma (Berapa banyak?), Morfologi (Bentuknya normal atau cacat?), dan Motiliti (Boleh berenang laju atau tidak?).
Jika bacaannya kurang memuaskan, Pakar Kesuburan kami akan mempreskripsikan suplemen antioksidan khas atau mencadangkan rawatan lanjutan seperti IUI (Intrauterine Insemination) di mana sperma suami akan "dicuci" dan sperma terbaik akan dipilih untuk disuntik terus ke rahim isteri.
The First Step: Semen Analysis (SFA)
If you have been trying to conceive for 1 year (or 6 months if the wife is over 35), it is time to see a Fertility Specialist as a couple. It is highly unfair if the wife undergoes various invasive tests and hormonal injections, only to find out later that the issue lies with the husband.
Male fertility testing is very simple, affordable, and completely painless. The husband only needs to provide a semen sample (Seminal Fluid Analysis - SFA). Our lab will analyze 3 main things: Sperm Count (How many?), Morphology (Are they normally shaped?), and Motility (Can they swim fast?).
If the results are suboptimal, our Fertility Specialist will prescribe specific antioxidant supplements or suggest further treatments like IUI (Intrauterine Insemination), where the husband's sperm is "washed" and only the best, fastest swimmers are injected directly into the wife's uterus.
TTC Adalah Perjalanan Bersama Suami Isteri.
TTC is a Journey for Both Husband and Wife.
Bawa isteri (dan suami) anda untuk Ujian Saringan Kesuburan (Fertility Screening) di Klinik O&G kami untuk mengenal pasti punca sebenar anda masih belum hamil.
Bring your wife (and husband) for a Couple's Fertility Screening at our O&G Clinic to identify the real reason you haven't conceived yet.