Male Infertility New Patient Intake
What a male infertility new patient intake asks, with sample questions on reproductive history, surgery, and exposures.
The male infertility new patient intake on this page covers sexual and reproductive history, past surgery, heat and chemical exposure, and the partner's fertility testing. It's also called a male fertility evaluation questionnaire.
Male infertility new patient intake, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a male infertility new patient intake in the patient's own language, strictly following the practice's instructions.
- Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
- Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
- Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
- Key details at a glance. The care team sees what matters up front and decides who needs attention first.
The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.
Sample male infertility new patient intake questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- How often do you have intercourse each week?Sexual history
- Have you tried timing intercourse with ovulation?Sexual history
- How long have you been trying to conceive?Reproductive history
- Have you had pregnancies with a past partner?Reproductive history
- Have you had a vasectomy or vasectomy reversal?Past surgery
- Have you had a varicocele repair?Past surgery
- Do you use hot tubs or saunas?Exposures
- Are you exposed to heat or radiation at work?Exposures
- Have you had chemotherapy for cancer?Health history
- Did you have mumps after puberty?Health history
- Does your partner have regular menstrual cycles?Partner history
- Has your partner had an HSG or ultrasound?Partner history
These are examples to read, not a form to fill in.
Male infertility new patient intake: FAQ
What does a male infertility new patient intake ask?
The sample questions here come from Stony Brook Medicine's Male Fertility Evaluation Questionnaire, the Fertility Questionnaire of Male Fertility and Sexual Medicine Specialists in San Diego, and the ASRM Infertility History Form. This page groups them into six areas: sexual history, reproductive history, past surgery, exposures, health history, and partner history.
Who fills in the male infertility new patient intake?
The male patient. The Infertility Center of St. Louis asks for the dates and results of earlier semen and hormone tests, and wants the form back before the first consultation.
Is it the same as a male infertility evaluation intake?
It can be. Stony Brook Medicine calls its form the Male Fertility Evaluation Questionnaire. Its urology department's New Patient Intake Form for men also lists infertility as a reason for the visit.
Does it ask about the female partner?
Yes. Male Fertility and Sexual Medicine Specialists in San Diego asks about the partner's age, health, and menstrual cycles, earlier tests such as an HSG or ultrasound, and past IUI or IVF cycles.
How is it different from a male fertility history questionnaire?
This page follows forms from Male Fertility and Sexual Medicine Specialists and Stony Brook Medicine, which ask about puberty, heat and radiation exposure, and the partner's test results. The male fertility history questionnaire page follows a fertility clinic's Male Patient Questionnaire.
What happens after the male infertility new patient intake is completed?
The practice's team reviews the answers before the visit. The avatar does not interpret semen or hormone results and does not give advice.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.
Can patient answers stay on our own servers?
Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.
Set up your AI Doctor in Genesis AI Avatar Studio
Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
