Collected after a 2 or 3-day period of abstinence in glass container. If pyospermia present, search for and treat infections of urethra, epididymis, or prostate. If otherwise abnormal, repeat in 2 weeks. If abnormalities persist, refer to urologist for further evaluation. Other male causes for infertility include testicular disorders, endocrine abnormalities, ductal obstruction, retrograde ejaculation, varicocele, or hypospadias.
Treatment is specific to cause.
Basal body temperature charting. Should see 0.5 to 1.0 Fahrenheit degree increase with ovulation. Expect 11 or more days between temperature rise and onset of menses with normal luteal phase. Low serum progesterone level on day 21 of cycle is suggestive of luteal phase defect. Evaluate and treat menstrual abnormalities.