Male Testing

Semen Analysis

Most men will initially be diagnosed with a potential male factor problem based on the results of an ejaculated sperm specimen. Values tested in the Sperm Analysis, as defined by the World Health Organization (WHO), include:

Morphology

An parameter in the Semen Analysis is the morphology, or shape of the sperm. The shape of the sperm is a reflection of proper sperm development in the testicle, or spermatogenesis. Men with a defect in sperm maturation tend to have problems with sperm morphology and may then be at risk for failure of their sperm to fertilize their partner’s eggs.

Urologic Examination

Once an abnormal finding on a Semen Analysis is identified, the male partner should be referred to an urologist for an examination and a review of his medical history. Usually a repeat Semen Analysis will be recommended by the urologist, as there is significant variability from specimen to specimen. The urologist will usually want to examine a urine sample to rule out infection or evidence of kidney or bladder problems.

If the size of the testicles is less than expected, the male will be tested for hormone levels, and he will also be examined to see if he might have a varicocele, a set of dilated veins in the scrotum that is associated with infertility. If a blockage of the sperm collection or transport system anatomy is suspected, additional tests may be recommended.

Semen Analysis FAQs

What do I collect my sample in?

Please use the collection kit provided by our office. The basic collection kit is free of charge. Other collection kits or items you have at home may affect your sperm sample.

Our office has a special collection kit available for purchase to use during natural intercourse in order to collect your sample. The cost of this kit is $27.

Yes, our office has a private collection room available by appointment only. Your wife or significant other can accompany you into the room.

Your sample should arrive at our office not more than 45 minutes after collection. If you live further than 45 minutes away, you may schedule a time to use the collection room in the office.

Yes, you will need to call 515-222-3060, option 2 (when prompted) to schedule an appointment for semen analysis or insemination. If you plan to collect your sample in our office we need to know this information at the time of scheduling your appointment. If you do not reserve the collection room, we will assume you are collecting the semen sample at home. All samples must be dropped off by the male patient, we are required to have you sign in the sample and verify your identity.

You will need to schedule an appointment and bring your sample to the receptionist/check-in desk at the scheduled time. You will need to complete paperwork at the office. Be sure to completely fill out the label that is included in the collection kit and attach it to the specimen. Please do not remove the sample from the bag.

*All specimens must be delivered by the male partner. Specimens will be discarded if delivered by someone other than the name on the label.

No. All semen samples must be dropped off by the male partner for positive identification of the sample.

*Specimens will be discarded if delivered by someone other than the name on the label.

If you have not completed registration forms, you will first be asked to do so. Upon checking in at the front desk you will complete the “Chain of Custody” form.

The complete semen analysis cost is $295. The semen analysis is $100 and the morphology (intensive assessment of sperm appearance) is $195.

Yes, there is a storage fee. Please contact our financial department at 515-222-3060, ext. 103, to learn more about storage options and fees. There are both short-term storage (monthly) and long-term storage (annual) options available.

Frozen sperm can remain viable for over 25 years when stored properly.

Please call our Mid-Iowa Fertility office and speak directly with Holly or Kepler in our lab.

NOTE: Our clinic does not accept sperm if our staff did not place the order.

Male Hormone Testing

Hormones produced by the pituitary gland, hypothalamus, and testicles play a key role in sexual development and sperm production. Abnormalities in other hormonal or organ systems might also contribute to infertility. In the event that sperm counts are low, a blood test may be performed to measure testosterone and other hormone levels.

What Our Patients Are Saying

“We knew we would have a little bit of a process because Tony had a vasectomy. So prior to getting married we had discussed that this was going to be another procedure to get it reversed. I think something that was so helpful with Dr Young, is we are not the first couple that has come into his office and has presented with a case that can’t get pregnant naturally. He was matter of fact and said this is how we start and this is where we’ll go. I walked out of there thinking, that guy is going to do it for us.” 

–  Tony Dilla and Mary Bender