Medical Optimization Program for Male Infertility

 
Medical Optimization Program for Male Infertility- An Introduction
 

 

 The General Steps of the Male Fertility Evaluation


All male partners of couples who are having trouble conceiving should have semen analysis testing performed at the same time that an evaluation for the female is initiated. If abnormalities are found on semen analysis testing (or the man has other fertility-related issues such as ejaculatory problems, etc.) then the following steps are taken:

  1. Fertility-related questionnaire completion by the patient- reviews risks factors related to their medical history, prescription medications, supplements, erectile and ejaculatory problems.

  2. Sperm Boot Camp- self-guided review by patients of their lifestyle-related fertility risk factors. The website link has a summary sheet which they can repeat for review by their medical provider.

  3. Hormone testing (if not done so recently already)- typical initial testing includes total testosterone, estradiol, FSH and LH.

  4. Potentially reversible semen analysis factors- such as pyospermia and low ejaculate volume

  5. Phyical exam- to look for factors such as varicoceles and testicular cancer screening

Reversible male factor issues are then addressed (e.g. hormone abnormality treatment, lifestyle changes, etc.) then repeat semen analysis testing is typically performed 8-10 weeks later. Based on these results (as well as any fertility issues which may be present), then a comprehensive couples fertility plan will be developed.

Medical Optimization Program

The Medical Optimization Program (MOP) is designed to address the medically-related fertility risk factors that are known to potentially have a negative impact of a man’s potential to achieve and maintain a healthy pregnancy.  While the Sperm Boot Camp focuses on an individual’s lifestyle-related activities, the MOP is designed to address a man’s medically-related risk factors, including:

 

1) Hormonal Abnormalities

2) Supplements and Prescription Medications

3) Reversible Semen Analysis-Related Risk Factors

4) Varicoceles

5) General Medical Diseases That Can Impact Male Fertility

6) Erectile Dysfunction

7) Ejaculatory Failure

All of these steps are outlines in their own sections within this website.