I'm with Monikadavid399. The sooner the problem is nailed the better. Male may have a general physical exam and some specific fertility tests including: Semen analysis. dr may ask for one or more semen specimens. A lab analyzes semen specimen. In some cases, sperm may be tested for in the urine. He may have a blood test to determine the level of testosterone and other male hormones. Genetic testing may be done to determine whether there's a genetic defect causing infertility. In select cases, a testicular biopsy may be performed to identify abnormalities contributing to infertility. and to retrieve sperm to use with assisted reproductive techniques, such as IVF. In rare cases, other tests to evaluate the quality of the sperm may be performed, such as evaluating a semen specimen for DNA abnormalities. Ladies may have a general physical exam, including a regular gynecological exam. Specific fertility tests may include: A blood test which measures hormone levels to determine whether you're ovulating. Hysterosalpingography which evaluates the condition of your uterus and fallopian tubes. It also looks for blockages or other problems. Ovarian reserve testing helps determine the quality and quantity of the eggs available for ovulation. This approach often begins with hormone testing early in the menstrual cycle. Other hormone tests check levels of ovulatory hormones. As well as pituitary hormones that control reproductive processes. Pelvic ultrasound looks for uterine or fallopian tube disease.
On the basis of all those tests results dr is to decide on the best treatment plan for the particular case.