Male Infertility

Male Infertility

Raymond A. Costabile Department Chair

Dr. Raymond Costabile

Infertility is defined by the inability to achieve pregnancy following a year of unprotected intercourse. Millions of couples are faced with fertility issues each year and a male factor is a contributing component in approximately 50% of cases. In general, a semen analysis is the first test used to assess a man’s fertility. A semen analysis (hyperlink to SA instructions below) may be performed at the time of your visit with Dr. Costabile or Dr. Smith.

Many times, when the female partner is seen for a fertility evaluation, the male partner may be asked to give a semen analysis. In the modern era of assisted reproductive technologies (ART), abnormalities may be found on your semen analysis; however, you still may be able to pursue Intrauterine Insemination (IUI) or In-Vitro Fertilization (IVF).

Ryan P. Smith, MD

Dr. Ryan Smith

While these are appropriate treatments in some cases of infertility, men who have not had a prior semen analysis and those found to have an abnormality on their semen analysis should be seen by a male infertility specialist. Your fertility is a barometer for your overall health and may be linked to the development or coexistence of other health problems. For this reason, it is important for men to undergo a fertility evaluation to maximize their chances of reproductive success and ensure their health.

While there are many potential causes of male infertility, few physicians are qualified to diagnose and treat male infertility.  Both Dr. Costabile and Dr. Smith are fellowship-trained in this area and can offer a complete evaluation to direct your care.

Take Home Message for Patients

  • Please peruse the pages on this site entitled Evaluation of Infertility and Treatment of Infertility.
  • If you are interested in a visit with Dr. Costabile or Dr. Smith, please call 434-924-9560 to schedule an evaluation.
  • We recommend you bring your female partner as we are also interested in obtaining additional history regarding any prior pregnancies, menstrual cycles, timing of intercourse, and her prior evaluations with a gynecologist.
  • Bring your prior semen analysis results and any information from previous evaluations so we can avoid duplicate testing and direct your care appropriately.