A detailed check on male infertility requires what tests to be done?

Patient's question:

Doctor, how can male infertility be thoroughly examined? I have been married for over a year, and we started planning to have a baby in the first half of this year. It has been almost a year now, and we haven't been able to conceive. My wife had a thorough check-up at the hospital and everything came back normal. I would like to ask, what tests are required for a thorough examination of male infertility?

Doctor's answer:

Male infertility testing includes the urinary and reproductive systems, the size of the penis, its presence, the size and texture of the testicles, and in some cases, a thorough examination of the size and texture of the prostate. In addition to general physical examinations and a detailed assessment of male secondary sexual characteristics and growth and development, the detailed examination items mainly include: 1. Medical history 2. Sperm analysis 3. Further examinations, which mainly include: testicular biopsy, vasography, interstitial cell function testing, seminiferous tubule function measurement, sperm and cervical mucus test, human sperm penetration into mouse oocytes with zona pellucida, immunological tests (detection of anti-sperm antibodies in serum and semen), sperm motility measurement, and semen bacteriology testing.

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