Diagnosis and Treatment of Infertility in Men

1. For initial infertility evaluation, both male and female partners should undergo concurrent assessment. (Expert Opinion)

2. Initial evaluation of the male for fertility should include a reproductive history. (Clinical Principle) Initial
evaluation of the male should also include one or more semen analyses (SAs). (Strong Recommendation; Evidence Level: Grade B)

3. Men with one or more abnormal semen parameters or presumed male infertility should be evaluated by a male reproductive expert for complete history and physical examination as well as other directed tests when indicated. (Expert Opinion)

4. In couples with failed assisted reproductive technology cycles or recurrent pregnancy losses (two or more), clinicians should evaluate the male partner. (Moderate Recommendation; Evidence Level: Grade C)