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Infertility evaluation can be expensive, and sometimes involves uncomfortable procedures. Many medical plans may not reimburse the cost of fertility treatment. Finally, there’s no guarantee — even after all the testing and counseling — that you’ll get pregnant. Tests for male infertility attempt to determine whether any of these processes are impaired. You may have a general physical exam, including examination of your genitals. Your doctor may ask for one or more semen specimens. Semen is generally obtained by masturbating or by interrupting intercourse and ejaculating your semen into a clean container.
A lab analyzes your semen specimen. In some cases, sperm may be tested for in the urine. You may have a blood test to determine the level of testosterone and other male hormones. Genetic testing may be done to determine whether there’s a genetic defect causing infertility.