Male Factor Infertility

Infertility is a disease defined by the failure to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse. Earlier evaluation and treatment may be justified based on medical history and physical findings and is warranted after 6 months for women over age 35 years. Ten to fifteen percent of couples will experience infertility. A male factor is present in up to half of cases of infertility and often can be treated.

There are number of known causes of male infertility including genetic abnormalities, previous testicular surgery, varicocele, testicular trauma, ejaculatory dysfunction to name just a few. Unfortunately, in half of men with infertility evaluation reveals “idiopathic” infertility, of infertility due to an, as of yet, unknown cause. 

Male factor infertility is initially evaluated by obtaining a semen analysis and simply blood testing. A semen analysis is a microscopic examination of the ejaculate after a man ejaculates into a specimen cup. It will tell you a number of factors including the sperm count, how well the sperm move, and how healthy the sperm look under a microscope. The semen analysis and blood testing for an endocrine evaluation constitute the initial evaluation of an infertile man.

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Men's Health Appointment