Diagnosis of Male Infertility

Take the first step with Testing that Uncovers Male Infertility

Fertility specialists recommend testing both partners when there is difficulty achieving pregnancy.  Dr. Dan French has extensive training, experience and uses appropriate diagnostic tools to evaluate male infertility.

Identifying the underlying causes of male infertility will likely involve minimally invasive testing: blood work, semen analysis and possibly genetic testing. With a blood draw, we are able to assess hormonal function as well as genetic abnormalities that could cause male infertility if indicated. In some cases, Dr. French will order further diagnostic tests, such as sperm DNA tests or scrotal ultrasound.

Your diagnostic work-up can proceed concurrently with your partner’s female infertility testing. Dr. French specializes in the comprehensive treatment of male infertility.

Once you have decided to pursue fertility treatment, you will likely have questions about what to expect.  The next step is evaluation and diagnosis of male infertility. Dr. French and his experienced staff will provide supportive care and open communication throughout the diagnostic process.

After a physical exam in our Dallas urology office, and review of your medical history, you are ready to begin a process that in 80 percent of cases results in a successful outcome.

Semen Analysis

Patients often have had at least one Semen Analysis before seeking a male fertility consultation, but if not, our office will arrange for you to have a Semen analysis with a quality andrology lab near you. Dr. French will then analyze the report for the following characteristics that aid in the diagnosis of male infertility:

  • Semen volume
  • Sperm count (concentration)
  • Sperm motility
  • Sperm morphology
  • Other semen parameters
  • Sperm antibody tests (if indicated)
  • Sperm DNA tests (if indicated)

If the semen specimen appears normal, and there is not likely a male factor to the infertility, Dr. French will recommend that the female partner proceed in her fertility workup. We may also recommend a follow-up semen analysis to confirm the initial results.

Scrotal Ultrasound

Sperm production originates in the testicles. Semen analysis results sometime require further investigation. Though not routinely required, Dr. French in some cases will perform scrotal ultrasound. This in-office, painless procedure allows Dr. French to better evaluate the scrotal contents. Rarely, a prostate ultrasound may be necessary, to evaluate the ejaculatory ducts.

Testicular Biopsy

When hormone levels fall within a normal range, yet semen analysis reveals the complete absence of sperm, called azoospermia, testicular biopsy can provide further clues as to the cause of male infertility. Testicular biopsy involves removing a small sample of tissue from one or both testicles. During this procedure performed under local or general anesthesia, Dr. French will have the opportunity to retrieve sperm for use in an IVF cycle if desired.

Dr. French specializes in diagnosing male infertility, and formulating a plan for successful conception. He is a board certified urologist with advanced training in male infertility, thereby he is able to offer targeted testing and effective treatments for anatomical, hormonal and genetic causes of male infertility.

Contact us at our Dallas urology office to schedule an appointment with Dr. Dan French. Phone: (214) 360-1535

Diagnosis of Male Infertility


  • Physical exam & medical history 
  • Semen analysis 
  • Scrotal ultrasound 
  • Transrectal ultrasound 
  • Hormone testing 
  • Post-ejaculation urinalysis 
  • Genetic tests 
  • Testicular biopsy 
  • Anti-sperm antibody tests 
  • Specialized sperm function tests