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Asima Ahmad: What Would Help Make Male Reproductive Health a More Routine Part of Care?

Asima Ahmad/LinkedIn

Nov 11, 2026, 06:41

Asima Ahmad: What Would Help Make Male Reproductive Health a More Routine Part of Care?

Asima Ahmad, Co-Founder and Chief Medical Officer at Carrot and Reproductive Endocrinology and Infertility Specialist at Reproductive Medicine Institute, shared on LinkedIn:

“Men’s reproductive health is often missing from the men’s health conversation and from the beginning of a fertility evaluation.

November is Men’s Health Awareness Month. Male factor contributes to about half of infertility cases, yet I still see couples in which the female partner has undergone extensive testing or initiated treatments before anyone orders a semen analysis.

Evaluating both partners from the start can help avoid delays, guide treatment, and identify health concerns that deserve attention beyond fertility.

An abnormal semen analysis can be a marker of broader health concerns. It doesn’t diagnose another condition on its own, but it should prompt us to ask why. Hormonal disorders, metabolic conditions, medications, and other underlying issues may contribute.

Testosterone prescribing is another opportunity to intervene earlier.

Fatigue, low libido, or a single low testosterone result should prompt an evaluation before a prescription. Confirming a deficiency and investigating its cause matter. So does asking about future family-building plans.

Testosterone injections, gels, and pellets can suppress sperm production, sometimes to zero. A man may feel better on treatment without realizing that his fertility has been affected. That conversation needs to happen before treatment begins, even if having children is years away.

For clinicians, employers, and health plans, there are practical opportunities to improve care:

Include male evaluation at the start of the fertility workup.
Make reproductive urology accessible when semen parameters are abnormal.
Include fertility counseling before testosterone treatment.
Treat an abnormal result as a reason to investigate the man’s health, alongside planning the couple’s fertility care.

Earlier evaluation may reduce avoidable delays and unnecessary treatment burden. It also gives men an opportunity to understand and address their own health.

What would help make male reproductive health a more routine part of care in your practice or organization?”

Asima Ahmad: What Would Help Make Male Reproductive Health a More Routine Part of Care?