Male Infertility Quiz
1. Have you had a vasectomy?
a) Yes
b) No
2. Have you had a semen analysis with an abnormal result (e.g. shape/low count)?
a) Yes
b) No
3. Have you been exposed to environmental risks (e.g. hot tub use, lead, pesticides)?
a) Yes
b) No
c) Not sure
a) Yes
b) No
2. Have you had a semen analysis with an abnormal result (e.g. shape/low count)?
a) Yes
b) No
3. Have you been exposed to environmental risks (e.g. hot tub use, lead, pesticides)?
a) Yes
b) No
c) Not sure
4. Did you notice change in amount of ejaculate or pain or loss of erection during sexual activity?
Yes
No
Not sure
5. Do you have a spinal cord injury, cancer or prostatitis?
Yes
No
Yes
No
6. Have you had surgery or any trauma in the scrotum area in the past?
Yes
No
7. Have you been diagnosed with a sexually transmitted disease?
Yes
No
8. Do you have an undescended testicle, varicocele, or other sex organ issues?
Yes
No
9. Have you ever used anabolic steroids, Rogaine, or cholesterol lowering medications?
Yes
No
Not sure
Yes
No
Not sure
10. Have you been told that there is no hope?
Yes
No
Yes
No
Male Fertility Specialists
6699 Alvarado Road, Suite 2207
San Diego, CA 92120
(619) 286-3520
Visit our other websites:
www.vasectomyinfo.com | www.martinbastuba.com