- A detailed history of the male partner is important. The frequency of sexual intercourse, erectile dysfunction, medications, and smoking are a few of the factors that can decrease sperm count and increase the number of abnormal sperm. Use of lubrications like KY can impair sperm motility.
- Semen Analysis Laboratory Testing
- Laboratory testing of hormones if needed
Male factor Laboratory blood tests
- FSH-Follicle stimulating hormone
- TSH-Thyroid stimulating hormone
- Hemoglobin A1C
- Chromosomal analysis and Y chromosome deletion if sperm count is less than 5 million
Male Testing The Semen Analysis
The cornerstone evaluation for male infertility is the semen analysis. This is one of the most important fertility tests because male infertility is present in up to 40% of couples with infertility. Certainly, no treatment of the female partner should be initiated until the male partner has had a semen analysis and male infertility has been ruled out. Whenever possible, the semen analysis should be conducted by a reproductive laboratory. These laboratories employ andrologists who have extensive experience identifying subtle sperm abnormalities that can cause male infertility.