What are the detailed examination items for male infertility?

Patient's question:

Got married for several years, but never had children. After checking at the hospital, it was found to be male infertility. What are the detailed examination items for male infertility?

Doctor's answer:

Mainly the following aspects:
1. Routine semen analysis
This is the most basic and important clinical diagnostic indicator for assessing male fertility. The parameters of semen are what physicians need to understand first. What patients need to pay attention to are:
- Abstain from intercourse for 3–5 days before the examination;
- The sample should preferably be collected through sexual intercourse;
- Ensure that all semen is obtained;
- Repeat the test 1–2 times within 2 weeks.
2. Seminal plasma super-activity test
Analyzing the chemical composition of seminal plasma is helpful for understanding the function of the epididymis, prostate, and seminal vesicles. Patients with conditions such as low semen volume, azoospermia, oligospermia, unexplained increased sperm motility, congenital defects of accessory glands, or diseases of accessory glands may undergo a seminal plasma super-activity test. Common parameters include fructose, carnitine, and acid phosphatase.

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