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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.

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Dr. Ahmed S. Zugail
Medically reviewed by Dr. Ahmed Zugail
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?

  1. 1Semen analysisUsually repeated to confirm the result
  2. 2Clinical examinationTo look for a varicocele or other changes in the testicles
  3. 3Hormone tests and ultrasoundDepending on the semen analysis and examination

After the diagnosis

Treatment options

01

Treating the cause

Such as treating a varicocele or a hormonal problem when present

02

Lifestyle changes

Weight, smoking, heat and some medicines can affect sperm

03

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

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Is 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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