Male Infertility

Male Infertility

Male Infertility

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

Male 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