1) Infertility History |
Age of partners, length of time the couple has been attempting to conceive |
Contraceptive methods/duration |
Previous pregnancy (current partner/other partner) |
Previous treatments |
Treatments/evaluations of female partner |
2) Sexual History |
Potency, libido, lubricant use |
Ejaculation, timed intercourse, frequency of masturbation |
3) Childhood and Development |
Cryptorchidism, hernia, testicular trauma |
Testicular torsion, infection (e.g., mumps) |
Sexual development, puberty onset |
4) Personal History |
Systemic diseases (diabetes, cirrhosis, hypertension) |
Sexually transmitted diseases, tuberculosis, viral infections |
5) Previous Surgeries |
Orchidopexy, herniorrhaphy, orchiectomy (testicular cancer, torsion) |
Retroperitoneal and pelvic surgery |
Other inguinal, scrotal and perineal surgery |
Bariatric surgery, bladder neck surgery, transurethral resection of the prostate |
6) Gonadotoxin Exposure |
Pesticides, alcohol, cocaine, marijuana abuse |
Medication (chemotherapy agents, cimetidine, sulfasalazine, nitrofurantoin, allopurinol, colchicine, thiazide, β– and α–blockers, calcium blockers, finasteride) |
Organic solvents, heavy metals |
Anabolic steroids, tobacco use |
High temperatures, electromagnetic energy |
Radiation (therapeutic, nuclear power plant workers), etc. |
7) Family History |
Cystic fibrosis, endocrine diseases |
Infertility in the family |
8) Current Health Status |
Respiratory infection, anosmia |
Galactorrhea, visual disturbances |
Obesity |