Today’s reproductive endocrinology and infertility providers have many tools at their disposal when it comes to achieving pregnancy. In the setting of highly efficacious assisted reproductive technology, it is natural to assume that male factor infertility can be overcome by acquiring sperm and then bypassing the male evaluation. In this review, we go through guideline statements and a stepwise male factor infertility evaluation to propose that a thorough male evaluation remains important to optimize pregnancy and live birth. The foundation of this parallel evaluation is referral to a reproductive urologist for the optimization of the male partner, for advanced diagnostics and interventions, and for the detection of other underlying male pathology. We also discuss what future developments might have an impact on the workup of the infertile male.

在实现怀孕方面，当今的生殖内分泌学和不孕症提供者拥有许多可供使用的工具。在高效辅助生殖技术的背景下，很自然地假设可以通过获取精子然后绕过男性评估来克服男性因素不育。在这篇综述中，我们通过指南声明和逐步的男性因素不育评估来提出全面的男性评估对于优化妊娠和活产仍然很重要。这种平行评估的基础是转介给生殖泌尿科医生，以优化男性伴侣、进行高级诊断和干预，以及检测其他潜在的男性病理。我们还讨论了未来的哪些发展可能会对不育男性的检查产生影响。