Up to 50% of couples with infertility involve some component of male factor infertility. Despite the growing need for care, male infertility is often underrecognized, undertreated, and undercovered by insurance. Herein, we provide a review of obstacles to male infertility care and present potential novel solutions to increase access. This includes utilization of telemedicine to overcome geographic barriers, incorporation of at-home semen analyses or direct-to-consumer testing into the fertility workup, implementation of advocacy efforts for better insurance coverage for male infertility diagnostic evaluations and therapeutic interventions, and expansion of access to subspecialty care in reproductive urology.