question: I live in a small community in southwestern Virginia called Richlands, zip code 24641, and am in need of fertility analysis. I am a male aged 43. In the past I have had issues with hypogonadism and been successfully treated with topical testosterone replacement therapy, Androgel. I have reached a point where I wish to marry and have a family. During a relationship I had about a year ago, neither my girlfriend nor I took precautions. I never withdrew before ejaculating and never wore condoms. She was not on the pill and has not had a tubal ligation. We probably had sex about 200 times during our relationship. She married last month and it turns out she was three months pregnant when she wed. I ceased having physical relations with her in mid-2010. I went to my local urologist and he wrote an order for a sperm count to be performed in the local hospital laboratory. The area in which I was to produce the sample was not conducive to erection, stimulation and ejaculation. I tried several times but was unable to produce a sample on any of those occasions. At home, and with a woman, I have no problems with arousal, intercourse and ejaculation. I know that sperm banks and fertility clinics have more ideal settings for a man to do his business. There was the option of producing a sample at home and getting it to the hospital, but the time lag and logistics of that never worked out. The instructions with the order emphasized that the sperm count could be of less value the longer it took the sample to reach the lab. My question is about finding a reproductive clinic or sperm bank in my local area to find out if I am infertile or not. Thank you.