Semen analysis is an important fertility test for infertile couples, and the test should be done before any treatments (even "just Clomid") are prescribed. Also referred to as sperm count testing, semen analysis includes more than just a sperm count.

While one-third of infertility cases involve the female partner, one-third of infertility cases are related to the male partner. The other third involves both partners or is unexplained infertility.

Every infertile couple must make sure the male partner is tested. Even if a fertility problem has been identified in the female partner, that doesn't mean the male partner's fertility is normal.

Many men experience anxiety over the test—and later, over the results. Here's what to expect during a semen analysis, what the results mean, and what happens if they are abnormal.

Preparing for a Semen Analysis

Your doctor will probably tell you that you need to abstain from intercourse for at least two to three days prior to taking the test. According to the American Society of Reproductive Medicine (ASRM), a semen sample should be taken no less than two to three days after sexual intercourse, and no more than seven days.

The testicles are outside the body in the scrotum because sperm are sensitive to temperature. This is why you'll want to avoid high heat exposure in the two to three months before your test, which includes activities such as sitting in a hot tub, using car seat warmers, and high-heat exposure in the workplace. A high fever can also affect your sperm counts.

If you have been exposed to high heat or experienced a high fever, it can take several weeks for your sperm counts to return to normal. Make sure to let your doctor know if these factors are relevant to you so that your test can be timed properly.

Some experts recommend that you avoid smoking, drinking alcohol, caffeine, and recreational drugs the week before your semen analysis.

There's a possibility that lifestyle habits can negatively impact your sperm count, but it's unlikely that giving them up for a week will make a difference in your test results. The process of sperm creation takes place over two to three months. If you want to try to improve your fertility, consider giving up these habits for the longterm.