Male Fertility Testing and Support in Ottawa and Ontario

Male fertility is a key part of conception, yet it is often overlooked or tested later than it should be. And in cases when sperm-factor related infertility is identified rarely are any corrective treatment options offered. This can often leave couple feeling like they have limited options to support conception. Up to half of fertility challenges involve sperm-related factors, and semen testing is one of the simplest and most informative first steps. For many people, receiving abnormal or borderline semen results can feel worrying and confusing, especially if the next steps are unclear.
Male fertility testing and supportive care can help you understand what your results mean and what can be done next. This page explains common tests, what the common results mean and how naturopathic support can complement your fertility plan. Our focus is not only on identifying any relevant issues but also covering and discussing in detail evidence informed treatment strategies to improve sperm health parameters.
At our clinic we support patients in person in Ottawa and through secure virtual care across Ontario, including individuals and couples working with fertility clinics across Ontario.

Information about Sperm-Factor Infertility Covered on this Page
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​What male fertility testing can include
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What your numbers mean in plain language
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Common contributors to abnormal results
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How supportive care can fit alongside fertility clinic treatment
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What to expect if you book a consultation at our clinic serving Ottawa and across Ontario through our secure virtual care platform
Who may Benefit from the Information on this Page
This page may be helpful if you:
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Have already completed a semen analysis and want some clarity understanding the common results
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Have been told your results are abnormal or borderline
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Have been diagnosed with male factor infertility
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Are preparing for IUI or IVF and want to support sperm health
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Have unexplained infertility and want to ensure male factors were fully reviewed
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Want a clear, personalized plan instead of generic online advice
Understanding Male Fertility Testing
Basic Semen analysis:
The basic semen analysis is the most common male fertility test. It typically measures:
Sperm concentration:
Number of sperm per millilitre of semen
Sperm Motility:
How many sperm are moving and how well they move
Sperm Morphology:
The percentage of sperm with typical shape
Sperm Volume:
Total volume of ejaculate
Other factors sometimes reported may include white blood cells, viscosity, or liquefaction time.
Results need context. A single abnormal test does not define fertility potential. Semen parameters can change over time and can be influenced by illness, medications, heat exposure, stress, and timing.
Repeat Testing
Because sperm development takes approximately three months, repeat testing is sometimes recommended to confirm trends rather than relying on a single sample. Particularly once a treatment plan aimed towards improving the parameters is initiated, a repeat test can help confirm efficacy of the treatment and help guide subsequent clinical decisions to maintain or further improve the parameters.
Additional Testing
Depending on history and fertility clinic guidance, additional male fertility investigations may include:
Hormone Testing:
Thyroid panel, testosterone, LH, FSH, prolactin in appropriate cases
Sperm DNA Fragmentation Testing:
Sometimes used when there is recurrent pregnancy loss, poor embryo development, or unexplained infertility
Ultrasound or Referral to Specialist:
Where structural or varicocele concerns are suspected, speaking with a specialist can help determine options for further assessment and treatment options. If this is suspected your Naturopathic Doctor will advise you to speak to your family general practitioner to pursue further specialized assessment.
These decisions are individualized and should be guided by your fertility healthcare team.

Why book a Consultation Instead of Relying on Generic Online Information
Male fertility is often discussed less openly, yet it carries significant emotional weight. A personalized appointment is valuable because:
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Results can be confusing without a clear and detailed explanation
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Abnormal or borderline results do not always mean permanent infertility and in many cases may be improved
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Different results require different strategies and assessments to determine underlying causative factors
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Unsafe or unnecessary supplement use is common online
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Sometimes both partners benefit from coordinated care
Our goal is to help you understand your results clearly and create a plan that is realistic and grounded in evidence.
Common Contributors to Male Fertility Challenges
Male fertility concerns may be related to one or more of the following:
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Lifestyle factors such as heat exposure, vaping, smoking, alcohol, or sleep disruption
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Metabolic health concerns
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Elevated oxidative stress
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Hormonal imbalances
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Testicular heat or varicocele
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Past infections or inflammatory conditions
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Environmental toxin exposure
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Unexplained causes despite testing
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Not all contributors are modifiable, but many are. A thoughtful review can help clarify where change is possible and what expectations are realistic.
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How Naturopathic Support can Fit Alongside Conventional Medical Care
Naturopathic support does not replace medical investigation or fertility treatment. It can be used as complementary care focused on:
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Education and clarity
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Understanding your test results and what they mean in daily life
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Nutrition and lifestyle planning geared towards improving these parameters
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Practical strategies that support metabolic and reproductive health
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Clinical nutrition planning
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When appropriate, a personalized supplement plan based on your results, medications, and safety considerations
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Timing considerations for upcoming assisted reproductive fertility treatments
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Emotional support to help ensure compliance and overall wellbeing for our patients
Male fertility concerns can come with shock, guilt, or silence. Supportive care can help you navigate this in a grounded way. Outcomes cannot be guaranteed, but the goal is to reduce avoidable barriers and support overall reproductive health as you move forward.
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What to Expect at your Naturopathic Fertility Appointment
Important topics that may be covered during your consultation:​
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Your fertility goals and timeline
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Semen analysis results and any previous testing
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Medical history, medications, and supplements
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Lifestyle factors including work exposures, exercise, sleep, and stress
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Nutrition habits and weight changes
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Any symptoms such as pain, swelling, or sexual health concerns
Treatment is aimed to help provide:
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Clear explanation of your test results in plain language
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Prioritized next steps
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A personalized plan focused on realistic, high yield strategies
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Guidance on what is optional versus essential
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Follow up timing recommendations based on sperm development windows

Frequently Asked Questions
Can sperm quality improve?
In many cases, yes. Some contributors are modifiable and change over time. Improvement requires realistic expectations because sperm development takes approximately three months.
Do supplements help male fertility?
Some nutrients have evidence for supporting sperm parameters in specific situations, but supplement use should be individualized. Random supplement stacks are common online and are not always safe or necessary, and in some cases may cause harm.
How long should I work on sperm health before retesting?
Often three months is recommended because of sperm development timelines. Your specific situation may call for earlier or later retesting based on clinical guidance if other relevant factors affecting the fertility are identified and may necessitate earlier testing.
Do you offer virtual appointments?
Yes. Consultations are available in-person in Ottawa and virtually across Ontario.
Schedule a Consultation
Dr. H. Singh, ND is a licensed Naturopathic Doctor in Ontario who focuses on fertility and reproductive health, supporting patients in Ottawa and across Ontario through in person and secure virtual consultations. Recognized by Faces Magazine Ottawa Awards, 2021 to 2024. He is a member of the OAND and the CAND.




