Patient's question:
What are the examination measures for azoospermia?Doctor's answer:
1. After seminal fluid centrifugation, the sediment was examined under a microscope, and sperm were not found in any of the three tests. This confirms azoospermia, and further investigation into the underlying cause is required.2. During the physical examination, attention should be paid to the development of secondary sexual characteristics and the condition of the external genitalia. If the testicular volume is less than 10 mL and the texture is abnormally soft, it may indicate poor testicular function. Palpation should also focus on checking for any abnormalities or nodules in the epididymis and vas deferens.
3. Endocrine tests, including serum FSH (follicle-stimulating hormone), LH (luteinizing hormone), PRL (prolactin), T (testosterone), and DHT (dihydrotestosterone), can help distinguish between primary testicular failure and secondary testicular failure.
4. Testicular ultrasound can detect gross abnormalities in the testicles, while testicular biopsy can provide more definitive diagnostic and treatment guidance.