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What to expect at a male infertility doctor appointment
AmyAALC posted:
Male infertility is often overlooked when a couple is being evaluated for infertility. Women will often be sent by her Gynecologist to a Reproductive Endocrinologist (RE) for a more in depth evaluation of her reproductive system even before a man is ordered to check a semen sample for the presents of sperm. RE appointments and testing add up quickly financially for these couples. A semen analysis (SA) is a quick and relatively inexpensive test that quickly rules out any questions on the male factor. The women's Gyn can order the SA or the male should set up an appointment for a full fertility evaluation with an Urologist. What can be expected at this Urology appointment is a question I see a lot. Men are not comfortable when it comes fertility or seeing a doctor for issues related. Male infertility is a specialty when in comes to Urology so you might want to look for an Urologist that has been fellowship trained in male factor infertility.

Once you set up the Urology appointment it is likely the office will send you an order to have a semen analysis and blood work done prior to your visit with the doctor. Have the lab testing done prior to your appointment is very helpful. The SA will check amount of sperm production, quality of sperm produced and signs for infections of the male reproductive system. The blood work will check hormone levels essential for proper sperm production (i.e. Testosterone, LH, FSH). At the appointment the doctor will review all labs for any abnormal values. A physical exam of the reproductive system will also be conducted to check for any testicular abnormalities, varicoceles, blockage or absence of the vas deferens. The doctor will discuss any problems found and possible treatments. You can request a copy of your records be sent to the RE or doctor your wife's doctor.

Male factor infertility can be a simple evaluation and I recommend checking at least a semen analysis prior to any further testing for the female partner.

I hope this information has been helpful and please post your experiences and questions.

Amy Perkins, MS
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal

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