If you have Kaiser, what is the process for concerns over infertility? Can you just call the dept and make an appointment or do you have to be sent in through your dr.? My husband and I have been trying to get pregnant, with no success. Today I saw a report (again), that Paxil can decrease sperm amount. My husband would like to have a SA and see if there is an issue before going off the medication. Thanks for any help.