Justin Houman/LinkedIn
Aug 31, 2026, 16:32
Justin Houman: What Is the Male Fertility Workup, and What Does It Look Like?
Justin Houman, Men’s Health Urologist at Tower Urology at Cedars-Sinai Medical Center, shared on LinkedIn:
“A quick reference for primary care colleagues on what happens when you send a male patient for a fertility evaluation, since many men arrive not knowing what to expect.
The workup is four parts:
- a directed history (duration of attempted conception, prior paternity, medications),
- a semen analysis as the baseline (concentration, motility, morphology, occasionally signs of infection),
- labs covering the fertility hormones plus testosterone and estradiol, and
- a physical exam with scrotal ultrasound when indicated to evaluate for varicocele or other scrotal abnormalities.
It is noninvasive, and it produces a complete baseline from which nearly every male-factor question can be worked up or ruled out. Early evaluation of both partners saves couples months.
Happy to see these patients from across the US, including by telemedicine.”
Proceed to the video attached to the post.
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