The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
I think when couples think about fertility usually it's thought of as a female problem um and I think there's just historic reasons for that you know if you look at data in the US when couples do seek care for fertility the man has bypassed probably a third of the time even though when you look at the reasons for infertility man contributes probably half of the time to infertility
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And it it's also recommended by society guidelines like American Society of Reproductive Medicine, WH etc. that both partners get evaluated simultaneously. Uh but the bias is female gets very evaluated for lots of money and the men typically may get a SEMA analysis but may not.
There's a large bias in Western worlds about how infertility is evaluated and it's a complex the reasons are complex. But I would say my practice is not typical. So most of my patients have been through a lot before they come to me. And typically, I think Keith Jaryy's data was good at about 23% of men get a formal evaluation for infertility before couples go through IVF in North America.
One one of the things I was very surprised by in the podcast that we did last week on male fertility was how infrequently men are getting evaluated and how many missed opportunities. In other words, how much how much wasted time is being generated because infertility is being assumed to be the the responsibility of the female.
To think that threearters of men are not even evaluated for fertility issues before proceeding to that is crazy.