Male Fertility Evaluation

Testing for Male Factor Infertility

The first step at infertility workup usually begins at testing for male factor infertility. For a conception to happen the male is expected to produce a good number of motile morphological acceptable sperms and deliver the same during coitus in the female vagina. Inability to deliver the sperms in the female vagina may be secondary to sexual dysfunction like erectile dysfunction, premature ejaculation, etc. Though not always these can be treated to satisfaction the problem can be overcome by using methods like Intrauterine Insemination. The initial test, a semen analysis when performed would reflect the availability of good number of morphological acceptable motile sperms. A normal semen analysis virtually though not 100% rules out male factor infertility as a problem.


In order for a physician to evaluate the count, motility and morphology of sperm, a semen sample must be provided. Ideally semen samples are provided after an abstinence from ejaculation for a period of 3 to 5 days. The sample is best collected by masturbation in a private, comfortable room in the fertility center.
Depending on the results of the semen analysis, more tests can be ordered to diagnose specific causes of infertility. If the semen analysis shows clumping or signs of infection, a semen culture, prostate fluid culture and urinalysis may be ordered. An anti sperm antibody test may also be ordered to evaluate potential immune system disorders. A fructose test can be used to evaluate structural problem or a blockage of the seminal vesicles.