Male fertility check-up

Origin of infertility: male and female

Numerous causes can be examined when a couple has encountered fertility problems.

Male fertility check-up

Physical exam

Before evaluating fertility, a physical exam is performed. During this exam, special attention is paid to the reproductive organs and to the secondary sexual characteristics such as the amount of hair, breast development and overall stature. A medical history questionnaire is also filled out.

 

The semen is examined under a microscope

The seminogram is one of the first fertility tests prescribed for a couple that is wondering about their ability to conceive. Semen analysis evaluates a semen sample under a microscope, among other things, to measure its concentration and analyze the motility and morphology of the sperm.

At Fertilys, contrary to other centres, basic semen analysis includes a detailed molecular evaluation of the integrity of sperm ADN. These more precise analyses allow us to come to a specific diagnosis to better treat you.

If the results of the initial seminogram are abnormal, it’s common to repeat the test on a new sample. Semen is collected by masturbation in a sterile container and, after liquefaction, is generally analyzed within two hours of collection.

In the event the second analysis is abnormal, additional tests are sometimes prescribed, depending on the abnormality identified, such as:

  • Blood tests:
    • To evaluate the levels of certain hormones (FSH, LH, testosterone, prolactin, TSH and estradiol)
    • To get a karyotype test, which is a study of chromosomes
    • To look for chromosome Y microdeletion
  • Testicular and scrotal ultrasound
  • Screening for sperm in the urine

The test results from your fertility check-up may lead you to feel anxiety, shame, anger or sadness. If you have the impression that you are overwhelmed by such feelings, don’t hesitate to ask our psychologist for help.

Infertility is a common medical condition and not in any way a reflection of virility.