Essential Male Fertility Tests
There are three foundational tests for men to evaluate fertility health, with additional specialized tests available based on initial results.
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1. Semen Analysis
A comprehensive semen analysis provides crucial information about sperm health and function.
Important Preparation Guidelines:
Provide the sample at the testing clinic when possible for optimal freshness
Postpone testing if you have a cold or temporary illness
Abstain from sexual activity for 2-3 days prior to testing
Avoid alcohol within 3 days of the test
Key Parameters Measured:
Semen Volume: Total amount of ejaculate
Semen pH: Acidity/alkalinity of the sample
Sperm Count/Concentration: Number of sperm per milliliter
Sperm Motility: Percentage of moving sperm and quality of movement
Sperm Morphology: Percentage of normally shaped sperm
Sperm Liquefaction Time: How quickly semen turns from gel to liquid form
Semen White Blood Cells: Indicator of potential infection (not always included but beneficial)
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2. Full Thyroid Panel
A comprehensive thyroid assessment includes:
TSH (Thyroid Stimulating Hormone)
Free T3
Free T4
Reverse T3 (not always included in standard panels)
Antithyroid Peroxidase
Antithyroid Globulin
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3. Sexually Transmitted Infection (STI) Testing
Key STI tests include:
HIV
Chlamydia
Gonorrhea
Syphilis
Candida Albicans (if symptoms are present)
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4. Vitamin and Mineral Tests
These nutritional tests are important for overall reproductive health:
Vitamin B6
Vitamin B12
Folate
Zinc (serum) - particularly important for male fertility
Vitamin D (serum) - particularly important for male fertility
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5. DNA Fragmentation
This specialized test evaluates the genetic integrity of sperm. Consider this test if:
Semen analysis shows a high percentage of abnormally formed sperm
You and your partner have experienced recurrent miscarriages
Previous fertility treatments have been unsuccessful
DNA fragmentation testing provides insights beyond what standard semen analysis can reveal, potentially identifying issues that affect fertilization and embryo development.