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Male fertility

Fertility evaluation should include both partners from the beginning.

Male-factor findings are common and often change the most efficient treatment path. RCA approaches testing and treatment as shared information—not blame.

Partners approaching male-factor fertility care together

A complete assessment

Findings guide the next decision.

Evaluation may begin with semen analysis and medical history, then expand when results or symptoms indicate repeat testing, laboratory assessment, genetic evaluation, or reproductive-urology input.

First-line testing

Semen analysis

Review concentration, movement, and morphology within the context of the full sample and collection conditions.

Clinical context

History and examination

Consider medications, prior surgery, infection, heat exposure, lifestyle, sexual function, and other relevant factors.

When indicated

Additional evaluation

Hormonal, genetic, or specialist evaluation may be recommended based on the pattern and severity of findings.

Treatment planning

The goal is the right level of care—not automatically the most intensive.

Optimize modifiable factors

Address reversible medical or lifestyle contributors when clinically appropriate.

IUI

May be considered when sperm parameters and the female partner’s evaluation support it.

IVF or ICSI

May help when sperm factors are more significant or when other infertility factors are present.

Donor sperm

An option for some individuals and couples after medical, genetic, and personal counseling.

One semen analysis does not always define fertility. Results should be interpreted with history and repeat testing when appropriate.

Evaluate together

Bring both sides of the fertility picture into focus.