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Fertility Testing for Men

Infertility does not discriminate and is not sexist. It can strike men and women in almost exactly the same ratio.

Male factor issues account for 40% of all infertility problems, exactly the same percentage for a woman having a fertility challenge.

The other 20% of the time? It’s either a combination of problems or idiopathic (unexplained) infertility. Testing both partners is imperative to understanding the whole fertility picture, adding crucial information for the most effective fertility treatment.

Even great results can be improved, as changes in lifestyle can improve sperm counts.

Remember, Fertility Testing for Men is 50% of the Picture

If you are a woman reading this, maybe you’ve already been to your Obstetrician/Gynecologist. They tell you, “you’re fine!” You’re menstruating regularly, every 24-36 days. Maybe you’ve bought ovulation kits and and you’re seeing that you are ovulating normally and within the right time frame. Or you’re using an app that shows you when is the right time of the month to have sex. You’re doing it all right.

egg donor requirements ’re missing half the picture.

Get the whole picture by having your partner tested.

If you’re a guy reading this and you’re trying to have a baby, get your sperm tested. Your DNA contribution is 50% of a baby; it’s how they get your eyes or chin. Having the baby that you’ve been hoping for may depend on checking your fertility.

Fertility Testing for Men is Inexpensive and Simple

Fertility testing for men is also inexpensive and non invasive. You get a kit with everything you need inside, including detailed instructions ranging from how long to abstain from sex (only 2-5 days) to scheduling an appointment to drop off the semen sample so the lab who’s examining it is prepared for you.

Most semen testing is covered by your insurance company, but do ask to make sure.

What’s Involved in a Semen Analysis

For men, fertility pretty much hinges on having healthy sperm, so semen analysis is the most important test for the male half of a couple that is experiencing fertility issues. It is an inexpensive test that should be done early in any infertility evaluation.

Usually two or more semen samples, taken at separate intervals, are analyzed because it’s normal for sperm counts to fluctuate. The analysis requires abstinence for two to three days. The specimen is collected directly into a clean container.

The semen sample is examined in a laboratory for quantity and the presence of infections or blood. Then a detailed sperm analysis is done to determine the number of sperm present and any abnormalities in their size, shape and structure (morphology) and movement (motility).

Low sperm count is also called oligospermia. Theoretically, it only takes one sperm to fertilize an egg, but the odds of one sperm reaching the egg are very low. Consequently, a low sperm count reduces a man’s chances of fathering a child. An urologist can suggest medical or surgical treatments to increase those odds, and men are advised to avoid smoking, excessive drinking and illegal drugs, maintain a healthy weight, and stay out of sources of excessive heat (like tubs and saunas) that can temporarily reduce sperm count.

Both morphology and motility are factors in male infertility because they impair the sperm’s ability to reach and fertilize an egg. Some causes of abnormal morphology are infections, high fever, congenital testicular abnormalities, varicocele (enlarged veins in the scrotum) and illicit drug use. Again, an urologist can recommend treatments that can improve morphology, including treating an infection, varicocele repair and hormone replacement. Pregnancy may still be possible through intrauterine insemination or in vitro fertilization.

If sperm abnormalities are detected, the semen analysis can be repeated in four to six weeks to determine if they are permanent or temporary. If the sperm analysis is normal, your doctor will probably recommend a thorough testing of your female partner before considering additional male infertility tests.