In as many as 60% of TTC couples, problems with fertility involve a male component; however, the male partner is not always worked up as thoroughly as may be warranted. Most often the reason for the poor fertility in men is unknown. Knowing how to diagnose and help male infertility is a specialty. If you are having troubles conceiving, it is worth the time and effort to find an Andrologist or Urologist to work with you. We hear from people all the time, that wished they had sought experienced, professional help in dealing with male factor issues far sooner! Most ObGyns or REs are not specialists in male reproduction, and may not know the most advanced therapy options. Dr. Ellington suggests that you spend the time to investigate the rapidly expanding literature and advances in male infertility early on in your TTC efforts. In particular, evaluating sperm chromatin or DNA damage in the man’s sperm can be very important. Sperm with high levels of damaged sperm can look completely normal under the microscope, yet they can not support a healthy term pregnancy. It is also important to remember that men have a great deal of performance anxiety that can occur when TTC. Check out the articles on the importance of keeping sex fun and enjoyable for you as a couple, to help men produce the most motile sperm possible!