We review his medical and lifestyle history, including alcohol, tobacco and prescription medication use, and recommend a Semen Analysis for fertility testing. When both partners attend fertility visits (preferred but not mandatory), the man may look bored, or nervous, or rarely embarrassed by the whole fertility thing. Some can find the humor in the situation which helps. Men with significant sperm issues benefit from a scheduling a physical exam with a Urologist at a later date; men with normal or near-normal sperm tests don’t need to get a physical exam, so the embarrassment factor should be fairly low. A Semen Analysis can be collected at home if you live less than an hour away.