Male Fertility Tests
Male Hormonal Evaluation
Male Hormonal Evaluation
When sperm parameters are low—or symptoms suggest imbalance—hormone testing helps identify why and guides a clear next step for treatment or improvement.
Why this matters
Diagnostics
Even if semen analysis is the starting point, hormones often explain what’s happening behind the scenes. Hormonal evaluation helps you understand:
Why Male Hormonal Testing Matters
- Whether the body is signaling sperm production properly
- If testosterone balance may be affecting fertility or sexual health
- Whether thyroid, prolactin, or metabolic factors are disrupting hormones
- What can be optimized naturally vs. what needs medical support
- Which next step is right—improvement plan, IUI, IVF/ICSI, or specialist referral
Who are these Test Recommended for
Recommended if you:
- Have low sperm count, low motility, or very abnormal semen parameters
- Have very low sperm count or azoospermia (no sperm) on semen analysis
- Have symptoms such as low libido, erectile issues, fatigue, low energy, mood changes
- Have a history of testicular injury/surgery, varicocele, or hormonal concerns
- Have unexplained infertility with no clear cause from basic testing
- Have metabolic risk factors like weight gain, insulin resistance, diabetes, thyroid issues
- Have recurrent pregnancy loss or repeated assisted-cycle failures and need deeper evaluation
Creating a plan based on your goals—now or later
Hormonal Testing
What Tests are Included?
Core Reproductive Hormones
These tests evaluate the body’s primary reproductive signaling and hormone balance.
1) FSH (Follicle Stimulating Hormone)
Reflects how strongly the body is signaling the testes to produce sperm.
Useful when sperm counts are low or absent.
2) LH (Luteinizing Hormone)
Regulates testosterone production.
Helps identify whether the concern is hormonal signaling vs. testicular response.
3) Total Testosterone
A key hormone for reproductive health, libido, and sexual function.
Interpreted alongside symptoms and other hormone markers.
4) SHBG + Free Testosterone (When indicated)
Helps assess “available” testosterone, especially when total testosterone looks normal but symptoms persist.
Hormones That Commonly Disrupt Fertility
These markers help identify common hormonal disruptions that can affect fertility and sexual health.
5) Prolactin
High levels may impact libido, erections, and testosterone balance.
6) Thyroid Panel (TSH ± Free T4)
Thyroid imbalance can affect reproductive hormones, semen quality, and metabolic health.
7) Estradiol (E2) (when clinically relevant)
Helps evaluate estrogen balance, often important in obesity/metabolic patterns.
Metabolic Screening (When Lifestyle Factors Matter)
Metabolic health and hormones are connected—especially in fertility optimization.
8) HbA1c
Reflects long-term blood sugar control, relevant to hormone regulation.
9) Fasting Glucose + Fasting Insulin
Helps assess insulin resistance patterns that may affect hormone balance.
10) Lipid Profile
Supports overall metabolic evaluation and long-term health planning.
Advanced / Add-On Hormonal Screening (Selected Cases)
Only advised when symptoms or patterns suggest deeper evaluation is needed.
11) DHEA-S
An adrenal marker that can influence androgen balance.
12) Cortisol / Additional endocrine markers (rare; case-based)
Considered if symptoms strongly suggest endocrine disruption beyond routine fertility markers.
Imaging or Physical Cause Checks
Hormones are one side—structural issues can also contribute.
13) Scrotal Ultrasound
Recommended if there is pain, swelling, suspected varicocele, or persistent abnormal findings.
14) Varicocele Evaluation
Varicocele can impact sperm quality and sometimes hormone balance.
Take the step that brings clarity to your journey.
Our 4-Step Mitra Pathway
Instead of pushing you into the most complex treatment first, we move through a clear, transparent pathway.
Listen & Understand
We begin with a detailed conversation about your health, cycles, lifestyle, and previous reports. No rushed 5-minute consults.
Test & Map
We recommend only the tests that matter for your case—so we can identify the real blockers early (for both partners), without unnecessary panels or confusion.
Decode & Prevent
We walk you through every result in simple language, then build a preventive plan to improve outcomes—cycle support, nutrition, lifestyle, and targeted medical care before stepping into advanced treatment.
Step Up—Only If Needed
If your reports show you need intervention, we move step-by-step—timed cycles, IUI, IVF/ICSI—based on what’s clinically right for you, with clear timelines, transparent options, and ongoing support.
Listen & Understand
We begin with a detailed conversation about your health, cycles, lifestyle, and previous reports. No rushed 5-minute consults.
Test & Map
We recommend only the tests that matter for your case—so we can identify the real blockers early (for both partners), without unnecessary panels or confusion.
Decode & Prevent
We walk you through every result in simple language, then build a preventive plan to improve outcomes—cycle support, nutrition, lifestyle, and targeted medical care before stepping into advanced treatment.
Step Up—Only If Needed
If your reports show you need intervention, we move step-by-step—timed cycles, IUI, IVF/ICSI—based on what’s clinically right for you, with clear timelines, transparent options, and ongoing support.
Trusted Expertise
Led by careful science.Grounded in real empathy.
Mitra Fertility & Beyond is led by, Dr. Vidyalatha, a fertility specialist with deep
experience in both preventive fertility care and advanced reproductive treatments.
- Evidence-based fertility protocols
- Transparent communication and honest counselling
- A calm, private environment that respects how sensitive this journey can be
Male Fertility Tests
What Tests you should Look Out For
Female fertility tests, explained clearly—so you know what to do, when to do it, and what your results mean.
Hormones, Lifestyle & Root Causes
When semen parameters are abnormal (or symptoms suggest it), hormone testing and targeted evaluation can identify the “why”—such as hormonal imbalance, thyroid/prolactin issues, metabolic factors, or lifestyle triggers. The focus stays practical: what can be improved, and how long it may take to see change.
Advanced Male Fertility Screening
For cases needing deeper clarity—recurrent IVF failure, unexplained infertility, repeated losses, or persistent abnormal semen results. This may include advanced sperm function testing, infection screening, and imaging to detect correctable causes (like varicocele) and guide the right next step.
Questions You Might Be Wondering About.
Do all men need hormone testing?
Not always. Hormone evaluation is usually advised when semen analysis is abnormal, symptoms suggest imbalance, or deeper clarity is needed.
Can hormonal imbalance reduce sperm count?
Yes. Hormones regulate sperm production, so imbalance can affect sperm quantity and quality.
If testosterone is low, does it mean infertility?
Not necessarily. It helps explain symptoms and fertility patterns, and the next step depends on the full hormone profile and semen report.
Does thyroid affect male fertility?
Thyroid imbalance can influence hormones, metabolism, and sometimes sperm parameters—so it may be evaluated when relevant.
Why test prolactin?
Raised prolactin can disrupt testosterone balance and sexual health, and it’s treatable once identified.
Can lifestyle improve hormones and sperm health?
Often yes. Sleep, stress, weight, smoking/alcohol, and heat exposure can influence hormone balance and sperm quality. Improvements typically take time.
How quickly can hormone-related improvements reflect in fertility?
Sperm production cycles take time (often weeks to months), so plans usually include a clear reassessment window.
What if hormone tests are normal but fertility is still delayed?
Then the focus shifts to other factors—timing, female evaluation (ovulation, tubes, uterus), and advanced sperm tests if needed.