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Male Fertility Testing: What Your GP Can Do

Authored by
Francesca Steyn
Published on
December 18, 2024

Fertility testing is an essential step for men exploring their reproductive health. These tests help identify potential issues affecting fertility and provide guidance for next steps. Whether it’s understanding semen health or supporting your partner through her tests, this guide ensures you’re informed and prepared.

Essential Info

• GPs can arrange semen analysis tests to evaluate sperm health.

• Hormone and genetic tests may also be recommended for men.

• Supporting your partner’s testing can improve your journey together.

• Early referrals to fertility clinics can provide faster solutions if issues are identified.

What Tests Are Available for Men?

Semen Analysis

The cornerstone of male fertility testing is semen analysis, which evaluates:

Sperm Count: Total number of sperm in a sample.

Motility: How effectively sperm move towards an egg.

Morphology: Sperm size and shape, which influence fertilisation success.

GPs typically arrange this test, with results providing insights into sperm health. If abnormalities are found, further tests may follow, such as hormone or genetic analysis

Hormonal Testing

Blood tests may assess levels of:

Testosterone: Vital for sperm production.

Follicle-Stimulating Hormone (FSH): Stimulates sperm production.

Luteinising Hormone (LH): Regulates testosterone production.

Abnormal hormone levels may indicate underlying issues, such as low sperm production or blockages

Ultrasound or Genetic Testing

Ultrasounds examine the testicles for issues like varicoceles (enlarged veins), while genetic testing identifies chromosomal abnormalities affecting fertility, such as Y chromosome microdeletions.

What Might Your Partner Be Tested For?

Understanding the tests your partner might undergo helps you provide better support. Women may face a broader range of evaluations, including:

Hormonal Blood Tests: Includes AMH, FSH, LH, oestradiol (E2), and progesterone tests to assess ovulation and ovarian reserve.

Ultrasounds: These scans examine the uterus and ovaries for conditions like fibroids or blocked fallopian tubes.

Hysterosalpingogram (HSG) or HyCoSy: These tests check whether fallopian tubes are open, ensuring eggs can travel for fertilisation

What Happens Next?

After testing, your GP will review the results with you. Based on findings:

• If issues are identified, you may be referred to a fertility clinic for specialised investigations.

• If results are normal, the GP may recommend continuing to try naturally or exploring assisted reproductive options.

Early intervention can significantly improve outcomes. For couples struggling to conceive after one year (or six months if the woman is over 36), seeing a GP sooner rather than later is crucial

Conclusion

Fertility tests for men focus primarily on semen analysis and hormone testing, offering straightforward ways to assess reproductive health. Understanding your partner’s testing journey also strengthens your shared goals. For more information, visit the NHS or consult the Human Fertilisation and Embryology Authority (HFEA) for licensed clinic details.