Evaluating Male Fertility
The assessment of a man’s fertility will include looking for symptoms of any hormonal deficiency, like excessive body fat, reduced muscle mass, and waning facial and body hair. The evaluation also takes into account the answers to some important questions about your health history, such as:
- Previous injury to the testes or penis, if any
- Latest high fevers, if any
- Whether you suffered any childhood disease, such as mumps
Your healthcare provider will look for problems by physical scrutiny of your testes and penis, such as:
- Infection, as indicated by discharge or swelling of the prostate
- Malfunctioning of tubes that carry sperm
- Hormonal deficiency, if any, as pointed out by small testes
- Presence of an accumulation in the testes
Your healthcare provider may also ask you to give a sample of semen to examine your sperm health and their quality. You will be advised to abstain from ejaculating for about 48 hours before giving the sample for the test. You then will be asked to give a sample by ejaculating into a cup by self-stimulating your genitals or by copulation and using a particular non-contraceptive condom. With this kind of condom, semen can be collected without any effect on the sperm quality. You may have to give your semen sample more than once because sperm production does vary from time to time depending on your activities and mental stress levels. Other tests include:
Measurement of hormones
Biopsy of the testicle
Your healthcare provider may use a needle to pull out sperm from your testicles.
In case of low sperm count or no sperm in your semen, your healthcare provider may test you for any genetic problem before beginning any infertility treatment. This kind of examination would identify any chromosome abnormalities that are causing a lack of sperm or lead testing can identify chromosome abnormalities that may cause the lack of sperm or developmental problems among your progenies.
STDs or STIs