Fertility Work Up- Male

Sexual History

Frequency of intercourse and a full history whether full penetration has been achieved or not should be specifically asked.

Personal History

  • Smoking
  • Alcohol
  • Drug addiction
  • Testosterone / Steroid injections for body building
  • Kind of work / Work place

Past Medical History

  • Childhood Mumps (Orchitis) – Secondary testicular atrophy
  • TB (Orchitis) – Atrophy
  • HT, DM, Psychosis, BA, Epilepsy – Treatment may lead to erectile dysfunction
  • STDs – Urethritis, Epididymitis

Past Surgical History

  • H/0 Trauma (May lead to Azoospermia)
    1. Type, Age
    2. Surgery, Testis Affected or not
  • Orchidectomy / Orchidopexy (H/o Undescended testes)
  • Vasectomy (Obstructive Azoospermia)
  • Hydrocele / Varicocele/Hernia repair
  • Testicular Aspiration or Biopsy

Family History

  • Cystic fibrosis mutations
  • Y chromosome microdeletions
  • Carcinoma – Hereditary inheritance (Non Obstructive Azoospermia)


Assessing testicular volume ,location , varicocele , collection and the presence of any examination is very important part of Male Infertility Diagnosis.

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