Patient's question:
Hello doctor, I would like to ask what are the items checked in a routine semen analysis? Recently, I have been experiencing frequent masturbation, and I want to get a semen test done. I don't know why I always feel tired, and I don't exercise much either. My friend told me that getting a semen test can check if there are any problems with my body. What are the main items checked in a routine semen analysis?Doctor's answer:
Sperm immune testing consists of three parts: AsAb testing, seminal plasma immune suppressive substance testing, and sperm cellular immune testing. Clinically, AsAb testing remains the most commonly used method. There are many methods for detecting AsAb, but current techniques are limited to detecting immunoglobulins (IgG, IgA, and a few IgM). There are two main approaches:1. Detecting AsAb attached to sperm (direct method);
2. Detecting AsAb in serum, semen, and female reproductive tract secretions (indirect method).
The direct method is more reliable, while the indirect method often yields lower validity and higher variability.
The cost typically ranges from a few hundred to several thousand yuan. Trace element supplements can enhance sperm vitality, and the traditional Chinese medicine Wuzi Yanzong Wan can be used for regulation. If medication is ineffective, further tests may be needed to check for reproductive system inflammation or varicocele. Surgical treatment may be an option for addressing the underlying cause. It is important to moderate sexual activity, quit smoking and alcohol, and wish you a speedy recovery.