If you trawl through online forums on conception, one of the standout issues is women seeking guidance from the collective on why their men refuse to get a semen analysis/sperm test done.

We don’t exactly live in a society that’s kind to men with fertility issues. Despite wanting children, it’s easier to place the infertility burden on the woman and outright refuse to get checked.

If you are reading this, then be reminded that the process is about gaining control over the situation. With proper diagnosis and the right medical attention, it may be possible to fix the problem.

The information may be daunting, so we are trying to keep this as simple an overview as possible. Something to help you comprehend the circumstance and not passively accept your fate through denial.

1. If you and your wife/partner have had regular unprotected sex and are unable to conceive, that is usually the first sign of male infertility.

2. The process of conception is complex, and your sperm plays an important role in the outcome. Sperm must be healthy and needs to mix correctly with the semen. Your sperm count needs to be optimal. They also need to be functional and motile in order to reach and penetrate your wife/partner’s egg.

3. Health and lifestyle choices like substance use and abuse (alcohol, drugs and tobacco), high levels of stress, depression and obesity can affect the quality and quantity of sperm.