Male Factor

So I want to say the most important thing first. A male factor finding is not a verdict on him, and it’s not a verdict on your relationship. It’s information for both of you.

When a semen analysis comes back with low morphology, it can feel like a gut punch. A result like “3% normal forms” reads as though almost everything is wrong.

When a semen analysis comes back less than ideal, the first question is almost always the same: “Is there anything we can even do about this?” The relief on a couple’s face when I tell them yes,…

Here’s how it usually goes. She goes through every test you can name. Bloodwork, ultrasounds, an HSG, cycle tracking, sometimes rounds of ovulation induction medication.

One of the most frustrating sentences I hear is some version of this: “His semen analysis came back normal, so they told us it isn’t him.” And then the conversation stops there, with all the…

There’s a test that almost never gets ordered up front, and yet it explains some of the most painful cases I see: good-looking semen analyses paired with failed cycles or repeated losses.