Men's Health Center at UWMC-Roosevelt

Male Fertility Lab: Patient Information

​Visits are by appointment only. A requisition must be obtained from your doctor, though we can also accept self-referred patients for some tests. For your appointment, please follow these steps.

Call UW Medicine pre-registration at 206.598.4388 before making an appointment. This is free, and is necessary to bill you correctly. Be prepared to give the registrar your name, birthdate, address, phone and insurance information. Unless you know for sure that your insurance company is going to pay for the test, please ask to set up an "elective self-pay" account. If you need an elective account, do this even if you have previously registered, since you likely have only an insurance account set up.

Note: Many insurance policies in Washington State pay for fertility testing, but not fertility treatments. You must check with your insurance carrier to determine your coverage. They will need a diagnosis, if available (such as N64.9 Male Infertility), otherwise Z31.41 Fertility Testing, and a test code (89322 Semen Analysis). Our financial counselor will call you with further information about the cost once you are scheduled for an appointment.

Call for an appointment: 206.598-6358. We will review available times Monday through Friday. Special procedures are performed during limited times throughout the week. At this time, you should know if your insurance company will pay.

We ask that you abstain from ejaculation for 3 days (acceptable range is 2-5 days, unless otherwise directed by your doctor) prior to your appointment. Please make arrangements for payment, if needed. You will be provided a short questionnaire when you arrive. Please have your referring physician's name, phone and fax number available. You may call 206-598-6358 to confirm your appointment.

Men's Health Center, UW Medical Center-Roosevelt. Please be on time; we will likely have to re-schedule if you are too late. We provide a private secure room for sample collection for you and if you wish, your partner. We restrict the use of lubricants to those provided by the lab or clinic, due to sperm toxicity.

You only need to make sure your doctor has ordered the follow up test to schedule another appointment. This is common when the Semen Analysis is abnormal, when more frozen samples are needed, or when follow-up testing is indicated or desired.

Please note that some of these forms require your signature to be notarized.

Sperm Freezing (Cryopreservation)

Sperm Shipping from the Male Fertility Lab

If you are shipping sperm to, or from out lab, please call: 206.598.1001

Private Health Information Release (required)

Consent to Ship FROM the Male Fertility Lab (required)

Sperm Shipping to the Male Fertility Lab
This is for your sperm, not donor sperm.

Consent to Ship to the Male Fertility Lab (required)

Donor Sperm Shipping To the Male Fertility Lab
This applies to Anonymous Donor or Designated Donor sperm only. Arrangements must be made with a provider to perform an insemination prior to shipping sperm to the lab. Also, please contact the lab prior to shipment to let us know which sperm bank is shipping the sperm, as we must make arrangements with them. FDA-required paperwork must accompany the sample.

Consent and Legal Statement for Receipt of Donor Sperm (required)