Semen analysis is the main test used to evaluate a man's fertility potential. It is a basic requirement in evaluating a couple's fertility.
If your semen analysis shows abnormalities, it may be repeated. Men can naturally vary in sperm count and motility so we prefer to verify the problem is consistent over time. If confirmed, you might be referred to a specific physician who will see you for a physical examination and hormone evaluation. Depending on the results of this evaluation, a visit to an urologist may be needed.
Different therapies are available for male infertility. Inseminations of sperm into the woman's uterus may be all that is needed for a slightly low sperm count or motility. Men may need to undergo surgery such as tying off (ligation) dilated veins (varicocele) that can exist in the scrotum or retrieval of sperm if sperm are unable to exit the man's reproductive tract. For very poor sperm count or extremely low motility, IVF with ICSI (sperm injection into the egg) may be the best treatment option.
For questions about male infertility or to schedule an appointment, call Gundersen Fertility Center at (608) 775-2306 or (800) 362-9567, ext. 52306.