Post Date December, 03 2023
Oligospermia is an important cause of male infertility, and it is also a disease that affects male reproductive health. Especially for young men, they must have their own children in the future. Therefore, it is necessary to undergo tests for oligospermia, and the process of diagnosing oligospermia is also very important.
There are three steps in diagnosing oligozoospermia. Patients with oligozoospermia often do not know they have this disease, so only through diagnosis can they help confirm their condition.
The Three Links in Diagnosis of Oligospermia
Oligospermia is the condition where the number of sperm in semen is less than 20 million per milliliter. The diagnosis of oligospermia is mainly made through semen analysis, inquiry of medical history, and immunological examination.
1、 Immunological examination
Immunological examination can determine the presence of autoimmune diseases, and chromosome karyotype analysis can determine the presence of chromosomal abnormalities. The determination of serum FSH, LH, T, and PRL is also an important method for detecting oligospermia. If FSH and LH are lower than normal, it is secondary oligospermia, and an increase in PRL is oligospermia caused by hyperprolactinemia.
2、 Semen analysis
Before diagnosis of oligospermia, abstinence for 3-7 days is required, and if semen routine analysis is conducted more than 3 times, the sperm density is less than 20 million; For those who cannot identify any cause, idiopathic oligospermia can be considered. When the sperm density is ≤ 10 million/mL, it can be diagnosed as severe oligospermia.
3、 Inquire medical history
The cause of oligospermia can be found mostly by asking about the medical history, physical examination and other laboratory auxiliary examinations (genetic examination, endocrine hormone determination, microbiological examination, antisperm antibody, trace element determination, etc.). When oligospermia is analyzed in semen and accompanied by the cause of the disease that causes oligospermia, it can be diagnosed as secondary oligospermia.
According to the medical history and physical examination, we can preliminarily determine whether there is cryptorchidism and varicocele.
Reproductive system inflammation can be determined according to the frequency of urination, urgency of urination, pain in urination, burning sensation of the urethra, increase of pyocytosis in the examination of purulent secretion and urine at the outer mouth of the urethra, white blood cells in the examination of prostatic fluid greater than 10/HP, and urine culture.
