Patient's question:
Actually, I knew I was infertile last year, but I never dared to tell my wife, afraid she would divorce me. I secretly took many medications and saw many doctors, but it didn't help. Now my wife is forcing me to go to the hospital for a check-up, and I'm really troubled. Please ask: How can male infertility be diagnosed?Doctor's answer:
(1) Detailed inquiry into the medical history and physical examination of male infertility: Collecting the medical history of male infertility is a crucial step for diagnosis, mainly including general health status, medical history related to infertility such as sexual and marital history, past illnesses, injuries, and surgical history, medication use, smoking and alcohol habits, and exposure to physical and chemical factors, as well as a history of urinary system symptoms, etc.; Physical examination should pay attention to the growth and development of secondary sexual characteristics and changes in the urinary and reproductive organs.(2) Semen analysis: It is an important method for assessing male fertility and should emphasize the collection of semen samples. Allow 10–30 minutes for complete evaporation before performing routine and meticulous examination, including macroscopic observation of color, volume, and pH value; microscopic observation of sperm density, motility, vitality, and morphology, etc. Additionally, attention should be paid to restricting sexual activity and maintaining a good mood. Finally, we wish all patients a speedy recovery.