Exploring the male infertility evaluation

The male infertility evaluation is critical because nearly half of all couples struggling with infertility will have a male factor involved. Testing the man is an important part of the infertility evaluation and a semen analysis should be performed as early as possible. Fortunately, our Kansas City fertility center has many successful treatments for men with low sperm counts.

Taking a medical history at the male infertility evaluation

A detailed medical history is important. Prior to your appointment, you will be asked to list all medical conditions and medications you are currently taking. A history of treatment with chemotherapy or radiation is important, as well as a history of an undescended testicle or injuries to the testicles or penis. Dr. Gehlbach will also review your family history, sexual history, and use of alcohol, tobacco or illicit drugs.

The semen analysis to assess male fertility

A semen analysis is the primary test for evaluating the male. It provides information about sperm concentration (referred to as the sperm count) as well as the motility (movement), morphology (shape), viscosity (thickness), and presence or absence of inflammatory cells.

The semen analysis is usually repeated in a few weeks if the first test shows abnormalities. Severe abnormalities will be further evaluated by a urologist with expertise in male infertility. If a semen analysis has not already been performed, you may schedule the test to coincide with your first visit.