Now a days it is known that about half of all fertility problems are caused by male infertility, making testing important. When couples experience infertility, it is vital that both partners get tested so that they may identify the problem. Failing to test the male partner may lead to unnecessary tests and treatments on the female's part. Once the problem has been located, the couple, along with a fertility specialist, may begin working on an effective treatment plan. The first step in male fertility testing often involves an appointment with an urologist who will ask the patient questions and perform a physical examination. They may inquire as to the patient's lifestyle habits (smoking, drinking, etc.) and sexual lifestyle (previous sexually transmitted diseases or other problems). They will take a full medical history and will perform a physical exam to help them fully understand their patient. One of the most common tests is a sperm and semen analysis. This helps the fertility specialist determine the patient's sperm count, shape, movement and other factors. The more normal sperm a man has the more fertile he is in most cases. Exceptions to this rule may exist, however. Men with normal sperm may be infertile for other reasons and men with low sperm counts may still be fertile. Speaking with an experienced fertility specialist will be helpful in shedding more light on these possibilities. Depending on the results of the initial semen analysis, the doctor may order further testing. If no sperm are present in the analysis it may mean that there is a blockage that may be corrected with surgery. This is called azoospermia. Some male fertility specialists may include a hormone evaluation in the fertility testing process, but some may consider this arbitrary as hormonal problems are not the cause of infertility in the vast majority of infertile men. The most common cause of male infertility that may be corrected is varicocoeles. This is best described as abnormal veins above the testicles resembling varicose veins. It is corrected through surgery. Low sperm count with no apparent cause is also a fairly common cause of infertility, affecting about a quarter of infertile men. Through semen analysis and a physical examination, many fertility specialists are able to determine if male infertility is the problem. If both the semen analysis and physical exam determine that there is no problem with the man, the female may be further evaluated or other tests may be ordered for the male partner for the purpose of improving fertility and ultimately conceive.