Not necessarily. In most cases, the process begins with a semen analysis (spermiogram), and depending on the results, additional tests such as hormonal or genetic studies may be recommended. Our medical team will guide you in a personalised way, based on your medical history and your reproductive goals.
Fertility study for men
Male fertility assessment
Our male fertility assessment gives you a clear and professional overview of your reproductive health. Through specialised and fully confidential tests, you will be able to understand the quality of your sperm as well as other key factors that can influence conception.
Whether you are beginning your journey towards fatherhood or simply want to gain a better understanding of your body, we are here to support you and help you take the first step with confidence.
Fertility study for men
It includes a series of diagnostic tests, among them the semen analysis, which makes it possible to study semen quality and assess key characteristics of sperm such as morphology, count, motility, pH, volume of seminal fluid, and fertilising capacity.
These are the most common tests in a fertility study, although many others may be carried out depending on the results obtained, such as hysterosalpingography or hysteroscopy in women, FISH and sperm DNA fragmentation in men, as well as coagulation, immunological, or karyotype tests in both partners.
What are the most common causes of male infertility?
Male infertility can have various causes, and in our clinic we carefully assess them in order to offer you the most appropriate treatment. Some of the most common causes include:
- Low sperm production
- Abnormal sperm function
- Obstructions preventing the release of semen
- Illnesses, injuries, or chronic health problems
- Environmental and lifestyle factors, such as smoking, excessive alcohol, marijuana or steroid use, or exposure to toxins
- Genetic conditions, such as cystic fibrosis or haemochromatosis
- Immune system problems, where antibodies attack the sperm themselves
- Hormonal imbalances or problems in the pituitary gland
Our medical team is here to help you identify the cause and find the path to fatherhood with confidence and support.
Male fertility evaluation methods
Initial consultation
Your personal medical history
We will begin the fertility evaluation with a detailed review of your personal medical history. This includes a genital examination and questions about hereditary conditions, chronic health problems, illnesses, injuries, or surgeries that may affect fertility.
The doctor may also ask about your sexual habits and your sexual development during puberty.
The doctor may also ask about your sexual habits and your sexual development during puberty.
Semen analysis
Semen samples can be obtained in different ways. One of the most common is through masturbation and collecting the semen in a special container, in a private collection room within the clinic.
If this option is not suitable for religious or personal reasons, alternative collection methods can be discussed with the treatment coordinator.
Once collected, the semen sample is sent to a laboratory where the sperm count is analysed, as well as possible abnormalities in their shape (morphology) and movement (motility). Signs of infections or other problems are also checked.
Since sperm count can vary between samples, several semen analyses are usually carried out over time to obtain more accurate results.
If the semen analysis is normal, the doctor will most likely recommend a full evaluation of the female partner before proceeding with further male fertility tests.
In some cases, a specific cause may not be identified. The main test is the spermiogram, which consists of obtaining a semen sample through masturbation, ideally after three days of sexual abstinence. This sample is analysed to assess the presence of sperm, their quantity, motility, and morphological structure.
If this option is not suitable for religious or personal reasons, alternative collection methods can be discussed with the treatment coordinator.
Once collected, the semen sample is sent to a laboratory where the sperm count is analysed, as well as possible abnormalities in their shape (morphology) and movement (motility). Signs of infections or other problems are also checked.
Since sperm count can vary between samples, several semen analyses are usually carried out over time to obtain more accurate results.
If the semen analysis is normal, the doctor will most likely recommend a full evaluation of the female partner before proceeding with further male fertility tests.
In some cases, a specific cause may not be identified. The main test is the spermiogram, which consists of obtaining a semen sample through masturbation, ideally after three days of sexual abstinence. This sample is analysed to assess the presence of sperm, their quantity, motility, and morphological structure.
Male fertility evaluation methods
Other male fertility tests
Blood analysis
We can carry out blood tests to assess your hormone levels and rule out other possible health problems that may affect fertility.
Scrotal ultrasound
Scrotal ultrasound uses sound waves to create images of the testicles and surrounding tissues. It is the main method for assessing disorders in the testicles, the epididymis (the ducts next to the testicles that collect sperm), and the scrotum.
Ecografía transrectal
Se introduce una pequeña sonda lubricada en el recto para que el médico pueda examinar la próstata y detectar posibles obstrucciones en los conductos que transportan el semen.
Post-ejaculation urine analysis
The presence of sperm in the urine may indicate that the sperm are travelling into the bladder instead of exiting through the penis during ejaculation (retrograde ejaculation).
Genetic tests
When sperm concentration is extremely low, it may be due to a genetic cause. A blood test can detect alterations in the Y chromosome or signs of a genetic abnormality.
These tests can also be used to diagnose congenital or hereditary syndromes.
These tests can also be used to diagnose congenital or hereditary syndromes.
Testicular biopsy
If the semen analysis shows a very low or absent sperm count, the doctor may remove a small tissue sample (biopsy) from each testicle. This sample is examined under a microscope to look for sperm.
Specialised sperm function tests
There are specific tests to assess the ability of sperm to survive after ejaculation, penetrate an egg, or attach to it. These tests are not used frequently and generally do not significantly change treatment recommendations.
requently asked questions about male fertility tests
Do I have to undergo all the male fertility tests?
How can I find out the cost of each fertility test?
You can check our full price list or contact our coordinators directly. They will be happy to give you a detailed estimate based on the tests you need.
What are the signs of a low sperm count?
In most cases, a low sperm count does not present obvious symptoms. However, some men may notice difficulties conceiving after several attempts, hormonal changes, or problems with erection. Only a semen analysis can confirm the diagnosis.
Can I have a fertility test even if I do not want to start treatment yet?
Yes, absolutely. Many men choose to have a test for prevention, for family planning, or simply to understand their reproductive health. There is no need to have an immediate intention to begin treatment.
Are male fertility tests painful?
No, most tests are painless. Semen analysis is carried out using a sample collected in a private setting. Some hormonal or genetic tests may require blood samples, which are quick and minimally invasive procedures.
How long do fertility test results take?
Semen analysis results are usually available within 24 to 72 hours. Other tests, such as genetic ones, may take a little longer (up to 2 weeks), depending on the type of study requested.
When should a man have a fertility study?
It is recommended when a couple has been trying to conceive for more than a year without success (or six months if the woman is over 35). It is also advisable for men with a history of testicular problems, varicocele, genital infections, or surgeries in the area.
What does the male fertility study involve?
It includes a semen analysis (spermiogram) to evaluate the quantity, motility, and morphology of the sperm. It may also require an andrological examination, hormonal tests, and in some cases, genetic studies or a testicular ultrasound.
Is it necessary to abstain before the semen analysis?
Yes. Sexual abstinence of between 2 and 5 days before sample collection is recommended to obtain reliable results.
How is the semen sample collected?
Generally through masturbation in a private room at the clinic. The sample must be delivered in a sterile container and kept at body temperature until analysis.
Are the tests painful or invasive?
No. The semen analysis and most tests are painless. If a testicular ultrasound or a blood sample is needed, the procedure is quick and well tolerated.
What factors can affect male fertility?
Age, smoking or alcohol consumption, being overweight, stress, the use of certain medications, exposure to heat or toxins, and illnesses such as diabetes or genital infections.
If the semen analysis is abnormal, does it mean I cannot have children?
Not necessarily. Many abnormalities can be treated or compensated for with assisted reproduction techniques such as artificial insemination, in vitro fertilisation, or ICSI.
Is it advisable to repeat the tests?
Yes. Sperm quality can vary over time. If an abnormality is detected, it is advisable to repeat the semen analysis a few weeks later to confirm the result.
Can the study also detect health problems?
Yes. It can identify infections, varicocele, hormonal imbalances, or even more serious conditions that require medical treatment.