Investigating the journey and experience of male patients through infertility clinics

Investigation and management of male infertility is often inconsistent and displaced by female-focused fertility care. This clinical service evaluation aimed to capture the patient journey for male infertility in Ireland. A questionnaire was distributed to men attending two private fertility clinics in the Republic of Ireland to explore referral, investigations, treatment offered, lifestyle advice received and patient perspectives on information provision. A total of 504 men completed the questionnaire. As expected, there was substantial variation in referral pathways. Almost half of respondents were offered no further testing beyond semen analysis, while others underwent repeat analyses or additional investigations. Most men were offered treatment involving their female partner. Lifestyle modification was commonly reported, particularly reduction in alcohol intake and weight loss; however, 27% men reported making no lifestyle changes. Importantly, 79% of respondents felt that more information on male infertility should be provided, with a preference for receiving information via a dedicated website. This study demonstrates marked heterogeneity in the clinical journey for men, alongside a clear unmet need for consistent information and male-focused care. Standardised clinical pathways, improved education and proactive lifestyle counselling represent practical opportunities to enhance patient experience and to optimise care for men affected by infertility.