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Male Infertility - Diagnosis

Overview | Causes | Diagnosis | Treatment | FAQ

If you and your partner desire to become pregnant and are unable; and a reasonable amount of time has passed to no avail, seek help. Couples should seek help if they have not gotten pregnant after 1 year of unprotected intercourse, but if the woman is over 35 years old, then it is best to go ahead and seek help after 6 months of trying to conceive. The woman's gynecologist or the man's urologist may be able to determine whether there's a problem that necessitates a specialist or clinic that treats infertility problems. Male fertility specialists are available at Urology Clinics of North Texas, if needed.

Before beginning infertility testing, please note that a certain amount of dedication is required. Your doctor will typically begin a complete infertility examination. Your doctor will need to determine your sexual habits and may make suggestions about how you may need to change those habits. Additional testing will likely include semen analysis and possibly blood tests as well.

The testicles of a fertile man produce enough healthy sperm, and the sperm must be ejaculated successfully into the woman's vagina. The below tests for male infertility help determine whether any of these processes are impaired.

  • A general physical examination is conducted. This includes an examination of your genitals as well as questions concerning your medical history, illnesses and disabilities, medications and sexual habits.

  • The semen analysis is the most important test for the male partner. You may be asked for one or more semen specimens. Semen is usually obtained by masturbation or by intercourse interruption and ejaculation into a clean container. Your semen specimen is analyzed for quantity, color, and presence of infections or blood by a laboratory. An in depth analysis of the sperm is completed. The laboratory will determine the sperm count and any irregularities in the shape and motility of the sperm. Typically, sperm counts will fluctuate from one specimen to the next so a repeat specimen is often recommended.

  • It is common to perform a blood test to determine the level of testosterone and other male hormones such as FSH and LH.

  • Though not common, a trans rectal or scrotal ultrasound may be conducted. This may help your doctor look for indicators of conditions such as and ejaculatory duct obstruction.

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