Diagnostic Testing

We offer both male infertility consultations and diagnostic testing. Once you arrive at our office, our staff will give you a short consultation. We will then discuss any necessary paperwork to process your 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. Please do not ejaculate for two–five days before providing a semen sample.

  • Bring your photo ID with you to your appointment.
  • Before your appointment, bring or fax a requisition order signed by your doctor for the lab you need.
  • Bring in your insurance billing form receipt. (It is the patient’s responsibility to submit this form to their insurance company.)
  • Check in at the front desk and take a seat. Please arrive a few minutes before your scheduled appointment.
  • Please ask any questions or clarify any information needed with your assigned technician.
  • Please walk to a private collection room. The technician will make sure the correct labeling is on the container before you submit your semen collection. Please lock the door after your technician leaves the room.
  • Deposit your semen sample into the collection container. After you’re finished, you’re free to leave unless otherwise instructed (you can read our sample collection instructions).

*Note: All services must be paid for in full at the time they are provided. We will ask for a copy of your photo ID to verify your information. A technician will review sample collection procedures, study patient consents, and long-term storage agreements as needed.

Male Infertility Consultations

What to expect at your appointment with Dr. Hotaling:

If you’re having a male infertility evaluation, you will have an appointment at our office with a male infertility specialist. To prepare for the appointment, we ask you to fill out a fertility questionnaire and complete some lab tests ahead of time so we can take better care of you.

1. Evaluation

For your male fertility evaluation, we will perform two semen analyses and a male endocrine profile (blood work) at our andrology lab before your clinic visit. We will ask you to not ejaculate for two or three days before your semen analysis (no less than two; no more than three).

For your endocrine profile/blood work, we will need to perform six labs. Your blood will need to be drawn before 10:30am in order to be accurate. You can get your blood drawn at our andrology laboratory or another lab that’s convenient for you. We’re happy to provide an order/script for this blood work. Your labs will include:

  • 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. He will give you a thorough male infertility evaluation, including the following:

The vast majority of men do NOT have a serious health condition that’s causing their infertility. Additionally, while andrology doctors focus on treating men, we will often ask a few questions about your partner and whether you have talked to a reproductive endocrinologist. We ask this information only so that we can better understand your reproductive goals as a couple. If you are worried that your female partner may have fertility problems, we will refer you to another doctor within the Utah Center for Reproductive Medicine.

Results from your appointment and tests will be sent to your referring urologist, reproductive endocrinologist, or primary care physician.
Other Diagnostic Tests

Semen Analysis Terms

Many patients find it helpful to read brief definitions of semen analysis terms:

  • Asthenospermia means that the sperm have poor motility—or do not swim well.
  • Azoo means an absence of any sperm.
  • Oligo means having fewer than normal sperm.
  • Pyospermia refers to a condition where there are many, many white blood cells in the sperm, usually from the prostate. So, azoospermia means no sperm, and oligospermia means a total motile count of less than 20 million. Severe oligospermia is defined as less than one million motile sperm. To make all of these conditions even more complicated, any of these prefixes can be used in combination with each other.
  • Teratozoospermia refers to abnormally shaped sperm.
  • Zona pellucida is the egg coating.

Learn about more fertility terms