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Looking at both partners
An assessment of fertility and pregnancy loss includes the male partner as well as the female partner. Previous pregnancy outcomes and semen findings can help identify questions for further review.
A history of miscarriage should not be attributed to one partner without evaluating the relevant clinical information.
Semen findings and sperm DNA
Semen analysis provides information about sperm concentration, movement and morphology. Sperm DNA integrity is a separate question that may be discussed in the review of a particular history.
The doctor decides which examinations are relevant. A result needs to be interpreted with the history and other findings rather than used on its own to explain a treatment outcome.
Records to share
Bring semen analysis reports, any sperm DNA or chromosome findings already available, earlier fertilization records and information about previous pregnancies or losses.
For a consultation after IVF, laboratory records can help distinguish fertilization findings from later embryo development or transfer outcomes.
Discussing the treatment pathway
The team reviews the findings before discussing insemination, conventional IVF or ICSI. These approaches involve different ways of preparing sperm and achieving fertilization.
Confirm the proposed examinations and treatment with the clinical team before arranging a cycle. Services described for another center in the group should be checked for the intended treatment location.
Different reports answer different questions
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| Information | What the team reviews |
|---|---|
| Semen analysis | Concentration, movement and morphology in the laboratory report. |
| Sperm DNA findings, if already tested | A separate question about DNA integrity, considered with the clinical history. |
| Chromosome or genetic reports | Any identified finding relevant to reproductive or family history. |
| Previous treatment | The fertilization method, embryo development and pregnancy follow-up in earlier cycles. |
The presence of several possible tests does not mean that every patient needs all of them. Ask what clinical question a proposed investigation addresses and how the result would affect the plan.
Organizing a couple’s review
Bring the male partner’s existing reports alongside the female partner’s assessment and any shared treatment history. If there has been a pregnancy loss or poor embryo development, the review should not automatically attribute the result to one partner without considering the available findings.
The discussion may involve the fertilization method, further assessment or the interpretation of earlier records. It should not be reduced to a general claim that one laboratory number determines the outcome.
See IVF and ICSI, pregnancy loss and review and understanding embryo results.