A fertility evaluation begins with a review of history. Such history will include questions about the frequency of intercourse, problems with erection or ejaculation, childhood illness and development, previous surgery, medical history, history of infections, and exposure to certain medications, toxins, and tobacco, alcohol or other drugs.
A semen analysis will be prescribed. The most important parameters to review include the semen volume, sperm concentration, sperm motility and sperm morphology. If any abnormalities are seen in the semen analysis, either a repeated semen analysis (to confirm the abnormal findings) or a referral to a Reproductive Urologist for consultation will be recommended.