Diagnostic Testing or Male Infertility Consultation
Patients will be called to the andrology office for service, which may include a short consultation, paperwork to process the sample, a review of semen collection instructions, and payment (fee schedule & policy).*
When scheduling an appointment, plan on approximately 20–45 minutes for the appointment. We ask you to abstain from ejaculation for two–five days prior to providing a semen sample.
- Bring your photo ID with you to your appointment.
- Bring or fax in advance a requisition order for the lab signed by your physician.
- Receive and bring an insurance billing form receipt. (It is the patient’s responsibility to submit this form to the insurance company.)
- Check in at the front desk, and take a seat. Please arrive a few minutes before the scheduled appointment.
- Review any questions or clarify any information needed with your assigned technician.
- Proceed to a private collection room. The technician will verify proper labeling of the container prior to collection and lock the door at his/her departure.
- Collect the sample and, once complete, you are free to leave unless otherwise instructed (sample collection instructions).
*Note: All services must be paid for in full at the time they are provided. A copy of your photo ID will be taken and demographics will be verified. A technician will review sample collection procedures, study patient consents, and long-term storage agreements as needed.
What to expect at your appointment with Dr. Hotaling:
A male infertility evaluation will involve an office visit to a male infertility specialist. To prepare for the appointment, we ask you to fill out a fertility questionnaire and complete some laboratory tests ahead of time, so we can take better care of you.
Your male fertility evaluation will begin with two semen analyses and a male endocrine profile (blood work) at one of the andrology laboratory locations prior to or at your clinic visit. Before the semen analyses, we ask that you abstain from ejaculation for two to three days (no less than two; no more than three).
The endocrine profile/blood work consists of six labs that need to be drawn before 10:30 am in order to be accurate; these can be done at an andrology laboratory or another lab that is convenient for you, and we are happy to provide an order/script for this blood work. The labs are a total testosterone, follicular stimulating hormone, luteinizing hormone, sex hormone binding globulin, albumin, and estradiol.
2. Office Visit
At your office visit, you will meet Jim Hotaling, MD, and undergo a thorough male infertility evaluation, including the following:
- Physical exam
- Review of your semen analyses and endocrine results
- Review of male infertility risk factors
- Plan development about lifestyle changes, medicines, treatment options, and, if necessary, surgery in order to increase the chances of pregnancy
The vast majority of men do NOT have a serious underlying cause of their infertility. Additionally, while andrologists focus on treating the male, we will often ask a few questions about your partner and whether you have talked to a reproductive endocrinologist. We ask this only so that we can better understand your reproductive goals as a couple as we do not have expertise in female infertility.
Updates from your appointment and testing will be sent to your referring urologist, reproductive endocrinologist, or primary care physician.