Beyond bulk semen parameters

This month’s issue of “Views and Reviews” gives readers the opportunity to learn about the topic of male infertility testing, enigmatic to many. The authors are experts in areas such as sperm functional tests, FISH testing and the roles of chromatin integrity and reactive oxygen species. The articles indicate that changes in male infertility testing can be expected, moving beyond the semen analysis as the sole test. The questions that arise are: How fast will the acceptance and integration of new tests by laboratories and clinics occur? Will the availability of ICSI (continue to) slow it down? And should REI fellowships place a larger emphasis on training of fellows in this area, in order to increase integration of more expanded testing into routine practice?