Examine your testicles while standing in front of a mirror. Hold your right testicle with your hand and your thumb on top. Roll it gently and feel for any pain or discomfort. Next, hold your left testicle and roll it gently to feel for any pain or discomfort. Do not worry if one testicle feels slightly larger than the other one, since this is perfectly normal. [6] X Research source If you feel any pain or a heaviness in your groin, you should see a doctor. [7] X Research source

Talk to your doctor if you have large breasts. Gynecomastia is often confused with just having fatty breast tissue, so you should ask your doctor to look at your breasts. Your doctor may check for breast cancer or an infection of the breast tissue called mastitis. [8] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source

Common treatments for erectile dysfunction include sildenafil (Viagra), tadalafil (Cialis), avanafil (Stendra), and vardenafil (Levitra, Staxyn). These types of medications help your body increase blood flow to the penis. However, you should see your doctor for full treatment options and approval of any medication. In particular, the above treatments are dangerous for people with low blood pressure, liver or kidney disease. [10] X Research source

Do a sperm test at home. You can purchase a home sperm test online or at major drug and department stores. Typically, these home sperm tests are reasonably accurate in measuring sperm count. You will have to ejaculate into a cup, wait ten minutes, and then look for your results. [14] X Trustworthy Source Cleveland Clinic Educational website from one of the world’s leading hospitals Go to source Remember that home sperm tests are limited in their ability to test for male infertility. They only measure sperm count and do not check for things like motility, shape, and other aspects of sperm quality. [15] X Trustworthy Source Cleveland Clinic Educational website from one of the world’s leading hospitals Go to source

Some plans cover the diagnosis of infertility but not the treatment. You should also see whether or not your plan covers infertility treatment. Check to see if there are age and gender related restrictions in your plan.

Be honest with your doctor about your lifestyle, including your diet, exercise, alcohol intake, and any substance abuse. [18] X Expert Source Debra Minjarez, MS, MDBoard Certified Reproductive Endocrinologist & Infertility Specialist Expert Interview. 31 March 2020. If the sperm analysis is not sufficient to determine infertility, your doctor may do a scrotal ultrasound test. This test is used to look for problems such as varicocele (varicose veins in the scrotum). [19] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Get hormone testing to see if there is a problem with testosterone. [20] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Get a post-ejaculation urinalysis. This test is used to determine if your sperm are travelling in the wrong direction and ending up in your bladder. [21] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Look into genetic tests. If the sperm analysis finds a very low count, you can get genetic testing done to see if your condition is inherited. [22] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source A testicular biopsy may be conducted in unusual circumstances. This test can determine whether the problem lies with sperm production or transport. [23] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source

Sperm production can be impacted by steroid abuse, cocaine abuse, and smoking either cigarettes or marijuana. [28] X Research source

The production of DNA in the testicles is very sensitive to temperature fluctuations. [32] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source Jacuzzis, saunas, and other hot rooms tend to excessively raise the temperature of the testicles and may cause infertility. [33] X Research source