Patient's question:
I have been married to my wife for more than two years. In the first year, we used contraception, but starting from the second year, we began trying to conceive. However, we have not been able to get pregnant. My wife went for a check-up, and there were no major issues found. The doctor suggested I get tested, saying the problem might be on my end. I would like to know what tests are typically done to diagnose male infertility.Doctor's answer:
Hello, male infertility first requires a routine examination to assess semen quality, including sperm density, motility, infection in the semen, antisperm antibodies, etc.; second, a reproductive organ examination is necessary. This includes the volume of the testes, whether the epididymis is inflamed or has nodules, the presence of varicocele, or whether the vas deferens has defects, etc. If the semen volume is particularly low, additional tests for seminal plasma biochemistry are required. For severe oligospermia (sperm density < 5 million/ml) or azoospermia, Y-chromosome microdeletion testing and sex hormone testing are also necessary.