I want to emphasize a few of Serenity’s tips to:
1. get a Semen Analysis as part of your initial screening – if it is not offered, insist on it. (it is not expensive and can quickly rule out 50% of the problem.)
2. As soon as you identify a problem with your semen analysis, get yourself a referral to see a highly regarded urologist who specializes in male reproductive issues. Don’t waste any time with your GP, RE, or a general UR. Do your research, and travel if you must.
The day we got the results of our first SA, which showed zero sperm, rank among the worst days of my life. However hope is not lost. Our journey is different than we expected, and we are blessed to live in a time when advances in reproductive medicine offer choices to help us build our family.