SpecialtiesMale infertility
Male infertility: where does the assessment start?
Semen analysis and examination to find the cause, then treating it or coordinating with a fertility centre.

Consultant Urologist, Andrology & Male Infertility
In a large share of couples who struggle to conceive, a male factor is involved, alone or together with a female factor. That is why both partners should be assessed together, not only the wife.
Some male causes are treatable, such as a varicocele or a hormonal imbalance, while others call for coordination with a fertility centre.
First step
How is it assessed?
- 1Semen analysisUsually repeated to confirm the result
- 2Clinical examinationTo look for a varicocele or other changes in the testicles
- 3Hormone tests and ultrasoundDepending on the semen analysis and examination
After the diagnosis
Treatment options
Treating the cause
Such as treating a varicocele or a hormonal problem when present
Lifestyle changes
Weight, smoking, heat and some medicines can affect sperm
Sperm retrieval
For men with no sperm in the ejaculate, in coordination with an IVF centre
The plan depends on the assessment, the wife’s age and the couple’s goals. In some cases moving straight to IVF is the better option.
Videos
The doctor explains it himself
Frequently asked questions
Questions about Male infertility
Need an assessment?
Choose a clinic and call its booking line. The website never asks about your condition
Choose a clinicIs one semen analysis enough?
Usually not. Results vary from one sample to the next, so the test is normally repeated before any decision.
Does having no sperm mean I cannot have children?
Not always. Depending on the cause, sperm can sometimes be retrieved from the testicle and used for IVF.
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This information is educational and does not replace a medical consultation. In an emergency go to the nearest emergency department
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