ProcreaWinnipeg, Manitoba

Evaluation & Tests for Him

Semen analysis is the most frequently used test for male infertility. It measures the volume of semen being produced as well as the number and motility of the sperm in the sample. Motility is essential to move the sperm to the fallopian tubes and enable it to penetrate the egg's outer shell-like covering for fertilization. Semen analysis can also evaluate the morphology (shape), pH (acidic level) and white blood cell count. An abnormal assessment in one or more of the above can indicate male factor infertility.

Other specialized tests, which may be utilized, to evaluate male infertility are:

  • Y-Chromosome Microdeletion - will indicate if a portion of the Y-chromosome is missing.
  • Antisperm Antibodies - to determine whether any antisperm antibodies are present. Typically done post vasectomy.
  • Karyotype - done through a blood test, it will determine whether there is an abnormality in the chromosomes that is affecting the ability to produce sperm, e.g. Klinefelters Syndrome.
  • CFTR Gene Analysis - some cases of infertility are genetic. This test will determine abnormalities due to genes such as the one for cystic fibrosis.


General health and wellness through a well-balanced diet and lifestyle is very helpful to fertility. Consuming excessive amounts of alcohol can be damaging to sperm. Smoking as well as the use of drugs such as marijuana, cocaine and tobacco can affect fertility by reducing sperm count. Certain prescription drugs such as ulcer medication and anti-malarial drugs are also not recommended. The use of anabolic steroids and the exposure to environmental toxins like printing inks and paint solvents should also be avoided.

Timing of Intercourse

To increase your chances of conception, it is recommended that you have sexual intercourse every 2 to 3 days around or during the time of ovulation. For a women with a regular cycle of 28 day to 30 days, this means having intercourse between days 10 and 17, around the time of ovulation. Ovulation occurs approximately 12 - 16 days before the next expected period. Abstaining for more than 3 - 4 days does not increase sperm quality.

« General health and wellness through a well-balanced diet and lifestyle is very helpful to fertility. »