Do You Need Premarital Test?

Fertility testing is one of the health examinations that couples can undergo as part of their wedding planning. Although it is often more commonly targeted at women, should men also consider fertility testing before marriage?

Generally, people become aware of the need for fertility testing after getting married, especially when they face challenges in having children. Medically, if a couple has been married for a year and has been having regular unprotected intercourse without conceiving, it is recommended that they undergo fertility testing.

 

Should Men Undergo Fertility Testing?

Some men may feel reluctant to undergo fertility testing due to cultural perceptions that associate male fertility with masculinity. However, according to Dr. William, Sp.And, an Andrology Specialist at Tzu Chi Hospital, men are not exempt from the risk of fertility issues.

There are several reasons why male fertility testing is important:

1. Early Detection
   Fertility testing can help identify medical conditions or issues affecting male fertility, such as declining sperm quality or hormonal imbalances. Detecting these problems early allows for timely treatment or necessary lifestyle changes.

2. Improved Chances of Pregnancy
   By understanding a man's fertility status, couples can take necessary actions if any issues are discovered, which may interfere with their pregnancy plans.

3. Reduced Anxiety
   Fertility testing can be a proactive step toward understanding reproductive health and providing a sense of control over the situation. This can help alleviate anxiety for men who may be concerned about their fertility.

 

What Does Male Fertility Testing Involve?

Men with fertility issues do not always display clear symptoms. For this reason, an Andrology Specialist will conduct a series of tests, including:

1. Medical History Review (Anamnesis)
   The doctor will collect information about the patient’s medical history, including past illnesses, medications, previous medical treatments, lifestyle, and other factors that may influence fertility.

2. Physical Examination
   A physical exam is conducted to check for visible signs that may indicate fertility issues, such as unhealthy lifestyle habits (e.g., obesity) or hormonal imbalances (e.g., suboptimal hair growth or below-average height).

3. Sperm Analysis
   A more in-depth examination involves analyzing the sperm in a laboratory. This test evaluates the quality of sperm, including count, motility, and morphology. In some cases, no sperm may be detected, requiring further investigation.

 

When Is the Best Time for Male Fertility Testing?

Male fertility testing can be done either before marriage or when a couple decides to start planning for pregnancy. Dr. William recommends fertility testing before marriage if possible.

“This allows us to identify the initial condition. For example, if a couple plans to have children soon after marriage, and the test shows declining sperm quality, the doctor can provide therapy, prescribe vitamins, or recommend specific treatments to optimize sperm quality,” explained Dr. William.

These are the reasons why male fertility testing is essential before marriage. If you and your partner are planning to get married soon, consider scheduling a male fertility test with our Andrology Specialists as part of the premarital check-up package at Tzu Chi Hospital.

 

This article has been medically reviewed by Dr. William, Sp.And.