In general, most men being evaluated for fertility will not require imaging. Depending on your labs and history we may recommend one of the following imaging tests:
Brain Magnetic Resonance Imaging (MRI). MRI is a noninvasive way for your doctor to examine your organs, tissues and skeletal system. An MRI of the brain may be recommended in men presenting with infertility who have a history of severe headaches, changes in their peripheral vision, or who have a hormonal abnormality.
Prostate MRI. MRI produces high-resolution images of the inside of the body that help diagnose a variety of problems. A prostate MRI may also be ordered to evaluate the anatomy of the male reproductive organs and the urinary tract system in cases of infertility.
Scrotal Ultrasound. Scrotal ultrasound, also called sonography, is an imaging method that uses high-frequency sound waves to produce images of a man's testicles and surrounding tissues. It is the primary method used to help evaluate disorders of the testicles, epididymis (tubes immediately next to the testicles that collect sperm) and scrotum. Ultrasound is safe, noninvasive, and does not use ionizing radiation. The images can provide valuable information for diagnosing and treating a variety of diseases and conditions.
Vasography. Vasography is an invasive x-ray study of the vas deferens (tube that carries sperm from the testicles to the ejaculate). It is done to check for a blockage in men presenting with low sperm counts and/or reduced semen volume.