When a couple suffering from infertility first seeks medical treatment, the doctor will first investigate any possible fertility problems of the male, as testing is less invasive than it is for a woman. If testing reveals no problems with the man, the woman will then be tested. Evaluation of male infertility includes:
- Personal history and physical examination.
- Blood tests to check for hormonal problems and other conditions.
- Semen analysis to examine the amount, shape and motility of sperm. This is the main procedure used to investigate male infertility.
- Other tests, such as transrectal ultrasound to check for blockages in the testis, the sperm-carrying tubes, and the testicular blood vessels.