A Man's Glossary to Fertility Terms: The Words You're About to Hear a Lot
Fertility medicine runs on acronyms and terms that nobody hands you a glossary for, and appointments move fast enough that stopping to ask "wait, what does that mean" every few minutes can feel awkward, even though it's completely reasonable to do. Here's a plain-language reference so you're not nodding along to words you don't actually understand.
THE BASICS
Ovulation — the release of a mature egg from the ovary, generally happening once per menstrual cycle.
Fertility specialist / Reproductive Endocrinologist (RE) — a doctor with specialized training in reproductive medicine, distinct from a general OB-GYN.
Semen analysis — the basic test of sperm count, motility (movement), and morphology (shape), typically the first test ordered for the male partner.
Ovarian reserve — a general term for the estimated quantity of eggs a woman has remaining, assessed through tests like AMH and antral follicle count.
AMH (Anti-Müllerian Hormone) — a blood test that estimates ovarian reserve.
FSH (Follicle-Stimulating Hormone) — a hormone measured via bloodwork that provides additional information about ovarian function.
TREATMENT-RELATED TERMS
IUI (Intrauterine Insemination) — a procedure where prepared sperm is placed directly into the uterus around ovulation, less invasive and less expensive than IVF.
IVF (In Vitro Fertilization) — a process involving ovarian stimulation, egg retrieval, fertilization in a lab, and transfer of a resulting embryo into the uterus.
ICSI (Intracytoplasmic Sperm Injection) — a technique used within IVF where a single sperm is injected directly into an egg, often used when sperm parameters are a concern.
Stimulation — the phase of an IVF or IUI cycle involving hormone medication to encourage egg development.
Retrieval — the procedure where eggs are collected from the ovaries during an IVF cycle.
Trigger shot — an injection given to complete final egg maturation before retrieval, timed precisely.
Transfer — placing an embryo into the uterus, either as part of a fresh IVF cycle or a frozen embryo transfer (FET) in a later cycle.
Blastocyst — a more developed stage of embryo (day 5-6) that many clinics wait for before transfer or freezing.
Two-Week Wait (TWW) — the period between ovulation or embryo transfer and a pregnancy test.
DIAGNOSIS-RELATED TERMS
Male factor — infertility attributed at least partly to sperm-related findings.
Unexplained infertility — a diagnosis given when standard testing doesn't reveal a clear cause.
PCOS (Polycystic Ovary Syndrome) — a hormonal condition affecting ovulation, one of the more common causes of female infertility.
Endometriosis — a condition where uterine-like tissue grows outside the uterus, which can affect fertility.
Varicocele — enlarged veins in the scrotum, one of the more common identifiable causes of male factor infertility.
Diminished ovarian reserve (DOR) — a diagnosis indicating fewer eggs than typical for a given age.
A FEW TERMS WORTH KNOWING BECAUSE YOU'LL HEAR THEM AROUND THE PROCESS
RE's office / clinic coordinator — often your main point of contact for scheduling and logistics, separate from the doctor.
SART / CDC data — national databases tracking clinic-level IVF success rates, worth knowing exist if you want to research a specific clinic's outcomes.
Beta (beta hCG) — the blood test that confirms pregnancy, often referenced as "getting my beta" during the two-week wait.
HOW TO USE THIS
You don't need to memorize this. Bookmark it, screenshot it, keep it in your notes app — whatever makes it accessible when a term comes up in conversation or an appointment and you want a quick, private reference rather than interrupting to ask.
REFLECT TOGETHER:
Go through this list together and each circle three terms you'd heard before but didn't actually understand. Talk through why those specific ones stuck out — sometimes it reveals what you've each been quietly wondering about.
Verification note: These definitions reflect general, standard usage in reproductive medicine. Specific protocols and terminology can vary by clinic — ask your care team to clarify any term used in your specific appointments that isn't covered here.