Patient's question:
Over half a year without pregnancy, I checked myself and the doctor said there's nothing wrong, but my husband hasn't been checked yet. Could you please tell me which aspects he needs to be tested?Doctor's answer:
Analysis of the Condition: Hello, the following tests are recommended: urinalysis, blood test, semen analysis, and prostatic fluid analysis, combined with clinical evaluation!Guidance for Treatment: Hello, the following tests are relevant to male infertility and infertility:
1. Microbiological tests related to male infertility and infertility: Male urogenital and reproductive system infections often lead to male infertility and infertility. The pathogens associated with these infections include bacteria, viruses, spirochetes, mycoplasma, chlamydia, etc. Common pathogens include Neisseria gonorrhoeae, human papillomavirus, adenovirus, and Chlamydia trachomatis.
2. Genetic tests related to male infertility and 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 impaired sperm production, severely affecting reproductive function and potentially causing male infertility and infertility. Therefore, chromosomal and genetic tests are of great significance for individuals with existing sexual differentiation abnormalities, other genetic defects, azoospermia, severe oligozoospermia, a family history of genetic diseases, and habitual couples.
3. Semen routine examination: This is the most basic and important clinical indicator for assessing male fertility. The parameters of semen are the first information physicians need to understand. Male infertility and infertility patients should pay attention to the following:
- Abstain from sexual activity for 3-5 days before the test.
- Preferably collect the sample through masturbation.
- Ensure all semen is obtained.
- Recheck 1-2 times within 2 weeks.
4. Endocrine tests related to male infertility and infertility: Reproductive endocrine dysfunction affects male sexual and reproductive function and is a major cause of male infertility and infertility. Endocrine tests mainly involve the measurement of sex hormones (T, FSH, LH, PRL, E2) and various stimulation 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 and infertility patients with conditions such as low seminal volume, azoospermia, oligozoospermia, unexplained reduced sperm motility, congenital defects of accessory glands, or accessory gland diseases may undergo seminal plasma biochemical tests. Common parameters include fructose, carnitine, and acid phosphatase.
6. Prostatic fluid examination: Prostatitis can lead to male infertility and infertility. Prostatic fluid examination can provide evidence for the diagnosis of prostatitis.