Infertility is defined as the inability to conceive after one year of unprotected, properly timed intercourse. Approximately 15% of all couples are infertile, 30% of couples will not be able to conceive naturally solely because of a male factor. Another 30% due to female factors. About 20% will have causes related to both male and female and 20% of the cases fall under unexplained infertility

Early evaluation of the male partner is important for the following reasons:
To optimize overall fertility potential and maximize chances of natural or assisted pregnancy. 
To prevent unnecessary added delays, since many couples are now postponing parenthood. 
To screen for modifiable practices or lifestyle elements that might be affecting male fertility.
To identify treatable causes of male infertility.
To screen for undetected medical conditions that might be contributing to male infertility.

There can be many causes for male infertility. Therefore, we advocate a systematic approach which begins with a detailed history and physical examination, followed by a thorough laboratory evaluation. The initial evaluation includes a semen analysis and hormonal testing. Depending upon these results, a more detailed evaluation may follow with:

Repeat semen analysis
Radiologic studies
Sperm function tests
Genetic evaluation
Additional hormonal Studies
Testicular biopsy

Built with