Understanding your fertility starts with a complete picture of your health. At Yinstill, we offer comprehensive male fertility evaluations to identify any underlying issues that may be affecting your reproductive potential.
1. Comprehensive Health & Lifestyle History
Before your initial appointment, please bring any prior lab results or medical evaluations. We will take a detailed history including:
Medical History
- Recent fevers or illness
- Cancer, diabetes, thyroid conditions
- Childhood infections (e.g. mumps) or developmental issues (e.g. undescended testicles)
- Surgeries or injuries (especially to the groin)
- Family history (e.g. cryptorchidism, hypogonadism, DES exposure)
- Use of medications (e.g. for hair loss, prostate, hypertension, or psychiatric care)
- Tobacco, alcohol, steroids, recreational drugs
Reproductive & Sexual Health
- Sexual history and timing of intercourse
- Proper use of lubricants (many are harmful to sperm)
- Erectile function, libido, ejaculation issues
- History of STIs or genital infections
Lifestyle & Environmental Exposure
- Heat exposure (e.g. hot tubs, saunas, tight underwear)
- Toxin exposure (plastics, pesticides, chemicals)
- Occupational exposures and sedentary work habits
- Electronics near the groin (e.g. laptops, phones)
2. Physical Examination
A focused physical exam includes:
- Body mass index (BMI), blood pressure
- Assessment of secondary sex characteristics (e.g. muscle mass, body hair)
- Inspection and palpation of the penis and testicles
- Checking for varicocele, asymmetry, or obstruction
- Prostate and seminal vesicle exam (if abnormal urinary symptoms are present)
3. Semen Analysis
We recommend two semen analyses spaced 2–3 months apart, performed at a fertility-specific lab with access to advanced sperm testing options.
Standard Reference Values
- Volume: >1.5 mL
- Concentration: >15 million/mL
- Motility: >40% progressive
- Morphology: >4% normal forms
Additional Semen Testing Options
- Anti-sperm antibodies (if clumping, raised viscosity, white cells, or high pH are present)
- DNA fragmentation testing (especially with recurrent pregnancy loss)
- Retrograde ejaculation (via post-ejaculate urinalysis)
- Seminal fructose and pH (to assess possible vesicle obstruction)
Sperm Results May Be Classified As
- Aspermia – no ejaculate
- Azoospermia – no sperm in ejaculate
- Oligospermia – low sperm concentration
- Asthenozoospermia – poor motility
- Teratozoospermia – abnormal morphology
- Anti-sperm antibodies
4. Hormonal and Blood Testing
These tests help identify hormonal or metabolic conditions that may impact sperm production, sexual function, or overall reproductive health. Testing is especially important if:
- Sperm concentration is <10 million/mL
- Sexual function is impaired
- Physical exam suggests hormonal imbalance
Recommended Lab Tests
- Testosterone (total and free)
- FSH, LH, Prolactin
- DHEA, Estrogen
- TSH, Free T3 & T4, anti-TPO antibodies
- Cortisol, fasting glucose and insulin
- CBC, cholesterol (LDL, HDL)
- STI panel, post-coital testing
5. Genetic Testing (When Indicated)
Genetic evaluation is recommended when sperm count is extremely low or absent. Testing may include:
- Karyotyping
- Y-chromosome microdeletions
- Klinefelter’s syndrome screening
These tests help detect inherited or developmental factors and guide treatment and family-building options.
6. When to Consider Advanced Testing
Additional tests are only recommended if they will:
- Identify a treatable problem
- Detect serious or life-threatening conditions
- Guide the direction of medical or alternative therapies
The Yinstill Approach
We go beyond standard semen analysis. Our evaluations look at the whole picture — from hormonal and physical health to lifestyle and environmental factors. If issues are identified, we provide a personalized 90-day treatment plan that may include:
- Acupuncture
- Herbal and nutritional therapy
- Hormonal optimization
- Lifestyle and environmental detox
- Functional medicine testing
Book Your Male Fertility Evaluation
Fertility is about more than just numbers. Let’s understand the root cause and move forward with clarity and confidence.
