Patient's question:
What department should a man go to for infertility and subfertility? What department should a man go to for infertility and subfertility?Doctor's answer:
Hello, common examination items for urology male infertility patients mainly include the following:1. Microbiological tests related to male infertility: Male urogenital and reproductive system infections often lead to male infertility. Pathogenic microorganisms associated with male urogenital and reproductive system infections include bacteria, viruses, spirochetes, mycoplasmas, chlamydiae, etc. Common ones include Neisseria gonorrhoeae, human papillomavirus, adenine, and trachoma chlamydia.
2. Genetic tests related to male infertility: The normality of male-related chromosomes and genes is the foundation for maintaining normal reproductive function. Abnormalities in chromosomes and genes can lead to abnormal sexual differentiation and/or sperm production disorders, severely affecting reproductive function and potentially causing male infertility. Therefore, it is of great significance to conduct chromosomal and genetic tests for patients with existing sexual differentiation abnormalities or other genetic defects, azoospermia and severe oligozoospermia, family history of genetic diseases, and habitual abortion couples.
3. Routine semen analysis: This is the most basic and important clinical indicator for assessing male fertility. Relevant semen parameters are the first information physicians need to understand. Male infertility patients should note:
- Abstain from intercourse for 3-5 days before the test;
- Preferably collect samples through masturbation;
- Ensure all semen is obtained;
- Re-examine 1-2 times within 2 weeks.
4. Endocrine tests related to male infertility: Reproductive endocrine dysfunction affects male sexual and reproductive functions and is a major cause of male infertility. Endocrine tests mainly involve the measurement of sex hormones (T, FSH, LH, PRL, E2) and various provocative tests, such as HCG stimulation tests.
5. Seminal plasma biochemical tests: Analyzing the chemical composition of seminal plasma helps assess the function of the epididymis, prostate, and seminal vesicles. Male infertility patients with conditions such as low semen volume, azoospermia, oligozoospermia, unexplained reduced sperm motility, congenital defects or diseases of accessory glands, may undergo seminal plasma biochemical tests. Common parameters include fructose, carnitine, and acid phosphatase.
6. Prostatic fluid examination: Prostatitis can lead to male infertility. Prostatic fluid examination provides evidence for the diagnosis of prostatitis.