My DH was very wound up about doing a SA. Its just he is quite an anxious guy, and the idea of doing it in a cup and then taking it in a car to a clinic made him feel quite ill. So I do understand. I personally never ever suspected my DH had a problem. He is young (29), extremely healthy, never drinks smokes or does drugs... turned out he has severe male factor that is genetic and unconnected to lifestyle, and could never get a woman pregnant without a special type of IVF (ISCI). So all I can say its important he gets checked out. I personally would try to take any pressure of him. I asked DH if he wanted "help", but he didn't so I didn't push that, I try to give him as much time as he needs (within the time you have to take sample), and I don't talk about it much the days or hours before and I made sure he was distracted. He has to abstain for a few days before SA, so that works up a bit of a sexual appetite, you could suggest something you don't normally do to spice it up? Watch a "special" video with him, something that could make it a bit of a treat. Its finding the balance between not putting pressure on the situation as most men will go backwards, and giving him the support to know you are there to do what it takes to make it easier on him. Having said all this: men! They don't know they are born! What about the long painful tests we have to do! Big hugs XXXX