Post Date April, 15 2023
Male infertility is now a common andrology problem, so how should male infertility be checked? What items should be done for male infertility testing? Let's take a closer look.
1. Microbiological examination: Male urinary and reproductive system infections often lead to male infertility. Pathogenic microorganisms related to male urinary and reproductive system infections include bacteria, viruses, spirochetes, mycoplasma, chlamydia, and other common pathogens include gonococcus, papillomavirus, adenoplasma, and chlamydia trachomatis.
2. Genetic examination: The normality of male related chromosomes and genes is the basis for maintaining normal reproductive function. Abnormality of chromosomes and genes can lead to abnormalities in sexual differentiation and sperm production, which can seriously affect reproductive function and may lead to male infertility. Therefore, it is of great significance to conduct chromosome and genetic examinations for couples with existing gender differentiation abnormalities or other genetic defects, azoospermia and severe oligozoospermia, a family history of genetic diseases, and habitual abortion.
3. Endocrine examination: Reproductive endocrine dysfunction affects male sexual and reproductive functions, and is an important cause of male infertility. Endocrine examination mainly involves the determination of sexual hormones T, FSH, LH, PRL, E2, and various stimulation tests, such as HCG stimulation tests.
4. Semen analysis: This is the most basic and intuitive clinical indicator for measuring male fertility. The parameters related to semen are the first thing physicians need to understand. Male infertile patients should pay attention to: go to different rooms for examination within 3-5 days; Ensure that all semen is obtained; Recheck 1-2 times within 2 weeks.
5. Biochemical examination of seminal plasma: Analysis of the chemical components of seminal plasma helps to understand the functions of the epididymis, prostate, and seminal vesicle glands. When male infertile patients have low sperm volume, azoospermia, oligospermia, unexplained decreased sperm motility, congenital defects of accessory gonads, and diseases of accessory gonads, seminal plasma biochemical tests can be performed, commonly including fructose, carnitine, and acid phosphatase.
6. Prostate fluid test: Prostatitis can cause male infertility. Prostate fluid examination can provide an important basis for the diagnosis of prostatitis.
Experts say it is best for couples to go to the hospital for examination at the same time when infertile patients first see a doctor. Through preliminary examination of both parties (such as male semen examination, female gynecological examination, or necessary tests), if clues can be found, further examination can be focused on the husband or wife based on the specific situation. This can reduce many detours and facilitate a clear diagnosis as soon as possible.
