Fertility background

One of the difficult things you may face is all the questions the doctor may ask you when you present yourself for medical investigation. The information here may help you prepare for the questions your doctor may ask.

If you find that you have a low sperm count you will need to seek medical advice and one of the first things a doctor will do is to ask you questions about yourself. The doctor will ask many of the questions below as he/she starts to investigate the possible cause of the low sperm count.

Previous Fertility History such as

• Any earlier pregnancies achieved with the current or any prior partners, regardless of outcome (such as spontaneous abortion or miscarriage, term delivery, or termination).
• Any earlier infertility treatment that was attempted and what the outcome was , including infertility investigation of the partner (if any)
• Any noted abnormalities in completing intercourse or ejaculation

Medical History, including

• Any previous surgery involving the region of the genitals or groin areas.
• Any known exposure to increased heat, such as hot baths, tight underwear, truck driving.
• Varicocele detection on examination.
• Any previous radiation or chemotherapy (the testes are very sensitive to radiation)
• Any previous cancer of the testicle(s) as well as surgical or medical treatment
• Any infections including venereal diseases or infection of the prostate gland (which is not caused by a venereal disease) and their treatment
• Any serious disease or other disorder that is associated with a fever within the prior 3-5 months
• Any previous damage to the testes (even if several years prior)
• Any history of substance abuse, including cigarettes, alcohol, cocaine, narcotics, and marijuana
• Any history of exposure to toxins, including pesticides or industrial chemicals in poorly ventilated conditions
• Any medications taken in the past 3-6 months
• Any previous chromosome testing results
• Any known history of family fertility problems
• Any known history of retrograde ejaculation or history of low ejaculatory volume
• Any neurologic symptoms, including headaches, blurry vision, dizziness, vomiting without known cause
• Any ongoing medical conditions requiring follow-up with a physician
• Ability to smell (tested with substances like coffee, not harsh odors)

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