Scottsdale Male Infertility Program

When a couple struggles with infertility, they often assume the issue resides with the female partner.

It is important to know, however, that approximately 40% of all infertility cases result from male factor infertility. That percentage alone shows how essential male infertility testing is – not only to ensure you proceed with treatment in the most effective and cost-efficient manner possible, but also to confirm that there are no signs of a more serious condition.

fathersonWHAT IT TAKES

In order for a successful pregnancy to occur:

  • a man’s sperm must reach a woman’s uterus via her fallopian tubes
  • once in the uterus, sperm must successfully fertilize the female egg
  • sperm must be genetically normal and able to penetrate and fertilize an egg


While some warning signs of male infertility may be obvious, other problems are subtle. Either way, the causes of male infertility can be easily diagnosed by an expert. Common causes of male infertility include:

  • erectile dysfunction
  • ejaculation problems (no sperm or premature)
  • physical obstruction of the ducts in the testicles (azoospermia)
  • an abnormal collection of bulging veins above the testicle (varicocele)
  • physical trauma to the testes
  • undescended testicles
  • chemotherapy for cancer
  • hormone imbalances
  • age-related infertility
  • genetic abnormalities
  • obesity
  • smoking
  • poor nutrition
  • stress
  • sexually transmitted diseases


headphonesAs with all fertility conditions, our goal is to make a swift and accurate diagnosis.

Our Scottsdale fertility center has the experience and urology resources to identify any sign of male infertility. Together with our renowned laboratory scientists and andrologists, we will perform a comprehensive initial male infertility workup that involves an in-depth look at the male partner’s medical history, a general physical exam, and a semen analysis.


Male infertility accounts for 40% of all fertility cases. Therefore, analysis of a semen sample provides critical information that can affect an individual or couple’s fertility chances. This first test is used to evaluate the male’s fertility potential and it is scheduled shortly after a first fertility appointment with Dr. Hade in Scottsdale.

After a fresh semen sample is collected via masturbation at home or at our Scottsdale fertility center, our laboratory staff will study the sample and analyse the following qualities:

  • Sperm shape: if more than 50% of the sperm are abnormally shaped, the man’s fertility will be affected.
  • Volume of sperm: the collected sample should be at least 2 millimeters. Less than that indicates an inadequate volume to fertilize an egg.
  • Sperm motility or movement: more than 50% of the sperm should still move normally an hour after ejaculation. This is important because sperm must be able to travel along the Fallopian tubes to reach the egg for fertilization.
  • Sperm count: a normal analysis shows between 20 million and 200 million sperm. A lower count makes it difficult to conceive.
  • pH level: a pH level below 7.2 or higher than 8 can indicate a medical problem such as an infection, or a blocked duct.
  • Liquefaction: the semen sample should turn to a watery consistency within 15 to 30 minutes from ejaculation to allow the sperm to move and conception occur.
  • Appearance: the sample should be whitish-gray. A reddish brown tint might indicate the presence of blood; a yellowish cast could mean a medication side effect.


Depending on the result of the semen analysis, blood tests may also be conducted to check for hormonal imbalances or certain genetic conditions. Because these causes of male infertility are less common than others, this testing won’t necessarily be performed unless there are other indications.


collectionAt Boston IVF – The Arizona Center, we believe in comprehensive fertility testing. Even if there is a known cause of infertility in the female partner, we recommend that the male partner undergo fertility testing to ensure there are no contributing factors before proceeding with treatment.

Many factors can affect sperm quality and quantity and the solution could be as easy as making a few lifestyle changes. If, after your semen analysis it is determined that there is a male factor involved in preventing pregnancy, there are several options for treatment, including:

  • Fertility treatments like IUI, or via in-vitro fertilization (IVF)
  • Intracytoplasmic sperm injection (ICSI), where we inject a single healthy sperm into the egg
  • Medications that help treat male fertility related to hormone imbalances and erectile dysfunction
  • Hormonal therapy that correct imbalances between the hypothalamus, the pituitary gland and the testes
  • Surgery (via a urologist) that removes barriers to sperm production, maturation and/or ejaculation
  • Donor Sperm, if no viable sperm is available


At our Scottsdale fertility center, when there is an indication of male factor infertility or issues with sperm quality/quantity, a vasectomy, a urologist will need to be consulted to incorporate male treatment into the overall fertility treatment plan. Dr. Hade will work closely with a urologist to ensure a cohesive treatment strategy and plan.

If male factor infertility is known prior to coming to Boston IVF, a urologist may be consulted first or after the first visit to our center.