One option that you can do would be a semen analysis to ensure that there is no obvious disease that is affecting the semen.
The standard semen analysis consists of the following:
- Measurement of semen volume and pH
- Microscopy for debris and agglutination
- Assessment of sperm concentration, motility, and morphology
- Sperm leukocyte count
- Search for immature germ cells.
I would also suggest a urinalysis and prostate exam to evaluate for any infectious etiology. These tests can be discussed with your urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.