Under certain specific conditions, an infertility check-up can be carried out more quickly (before the one-year period), especially if there are risk factors for male infertility such as:
a history of cryptorchidism, epididymitis, acute twisting of the spermatic cord, testicular trauma, inguinal hernia repair in childhood.
- a varicocele.
- sexual dysfunction.
- a congenital malformation of the hypo- or epispadias type, or bladder exstrophy.
- a history of potentially gonadotoxic treatment.
- risk factors for female infertility, including the woman’s advanced age (over 35).
- the couple questioning the man’s fertility.
- a questioning of the man on his own fertility in the current absence of partner.
The initial evaluation of the man in a childless couple must be carried out in the absence of pregnancy after one year of unprotected intercourse. The period may be shortened under certain specific conditions, in particular in the event of a risk factor for infertility of one of the partners of the couple or questioning of the man with regard to his fertility. You can check this website and find out the solutions you look for.
The frequency of coïts and their calendar.The duration of infertility and the previous fertility of the couple and both partners.The partner’s age (the fertility of a 35-year-old woman is halved compared to that of a 25-year-old woman).Sexual history including sexually transmitted infections.The primary or secondary nature of infertility: this element has a prognostic and orientation value, but does not modify the methods of the initial assessment.
Childhood pathologies and the history of development (cryptorchidism, disorders of sexual differentiation).System pathologies (including diabetes and obesity), cancers, genetic diseases (chromosomes, cystic fibrosis, etc.) and respiratory and ENT conditions.Previous surgeries, including inguinoscrotal surgeries (cryptorchidism, inguinal hernia).Twisting of the spermatic cord.Trauma (pelvis, external genitalia, perineum).Urogenital infections (orchid-epididymitis in the context of STIs, mumps orchitis, urethritis, prostatitis, urinary tract infections, genital tuberculosis).
Smoking consumption: number of cigarettes per day or equivalent, number of pack-years (PA), regular or occasional consumption. Tobacco causes an alteration in spermatogenesis, a decrease in the mobility of spermatozoa and a significant decrease in the chances of success in AMP.
Use of cannabis and other narcotic drugs (glues, crack, heroin, cocaine, synthetic drugs).
Consumption of alcoholic beverages: by quantifying consumption (number of drinks per day) and specifying its mode (occasional or regular).
Exposure to factors harmful to spermatogenesis or spermatozoa, including heat (hot baths, sauna, hammam, tight underwear, intense and prolonged physical exertion, sports activities, laptops), exposure to endocrine disruptors (exposure to pesticides and solvents) and consumption of anabolic steroids.
Occupational Risk Factors
Including heat (bakers, cooks, metallurgy, extended sitting positions, etc.), exposure to endocrine disruptors (agriculture, chemical industry, cleaning products, paint, hairstyle, etc.), ionizing radiation, stress, night work.
- Family survey with possible constitution of the family tree.
- Search for hypofertility in relatives (use of infertility treatments in parents).
- Pathologies of the genitourinary sphere (cryptorchidism, testicular cancer).
- Research of family genetic pathologies (cystic fibrosis, infantile malformations and handicaps, perinatal mortality).
- Look for inbreeding (in the patient’s parents or in the couple).
- Mother taking medication (DES).