Hudnall MT, Greene LI, Pham MN, et al. - Discussions concerning infertility with a health care provider were infrequent among men. More frequently, middle aged men and those who used fitness trackers self-initiate fertility evaluation through at-home semen analysis. Findings demonstrated not only pervasive concern regarding low serum testosterone but also its strong correlation with concern for being infertile and self-initiating a semen analysis of any kind.

• Online cross-sectional survey via ResearchMatch.org was conducted among men age 18 and older without children (n = 634).

• Concern about infertility was expressed by 186 men but there were only 29% who were likely to discuss these concerns with a healthcare provider.

• More men preferred self-initiation of a semen analysis using an at-home product over a traditional laboratory/clinic (14.2% vs 10.4%).

• Men concerned about low testosterone and infertility are more likely to self-initiate a traditional semen analysis.

• Concern for low testosterone and infertility, as well as middle age and fitness tracker use, were correlated with self-initiating an at-home semen analysis.