What are the items included in a routine semen analysis?

Patient's question:

I have been married to my wife for more than three years. Previously, I thought it was important to focus on my career, so we didn't have children and always took precautions. Now that my career is almost settled, both my wife and I want to have a child. However, we have been preparing for over a year, and there has been no progress. A few days ago, we went to the hospital for a check-up, and the doctor said it is very likely due to my reasons and suggested I get a semen analysis. I would like to ask what tests are included in a routine semen analysis?

Doctor's answer:

According to your situation
Main examination items
Medical history. It is very important to collect medical history correctly. The doctor should be serious and responsible, and keep the patient's confidentiality; the patient should also actively cooperate and truthfully reflect the following situations:
1、Medical history.
① Occupation and job type
② Previous medical history
③ Marital and sexual life status
④ Previous examinations and treatment history
⑤ Family history
Examination items
2、Physical examination. This includes a general examination and a genital examination. The general examination is the same as that of internal medicine, with special attention paid to development, nutrition, and mental status, but the focus is on the genital examination. The examination includes:
① Penis: Pay attention to whether there are severe phimosis, hardening, inflammation, tumors, or developmental abnormalities.
② Urethra: Check for fistulas, hypospadias, hardening, or stenosis.
③ Prostate: Its size can be checked through rectal examination, as well as whether there are hardening, masses, or it can be massaged to obtain prostatic fluid for examination.
④ Testicles: Measure their size, check the hardness through palpation, and look for hardening, tenderness, masses, or whether they are cryptorchid.