What tests should men with infertility undergo?

Patient's question:

After marrying my ex-wife, we didn't use any contraception, but we didn't get pregnant for a year before finally getting married. Now that we're married again, it's been two years with no contraception and still no pregnancy. My sexual function is normal, but my semen is very yellow and in very small amounts, and sometimes I can't even ejaculate. I had a semen test a while ago, and the results were normal. Besides what kind of detailed examination can thoroughly check for male infertility?

Doctor's answer:

Hypothesis of the condition: Anejaculation refers to the ability of the penis to achieve normal erection and sexual intercourse, but the inability to eject semen, or the ability to eject semen in other situations but not inside the vagina, thus preventing the transcendence of sexual climax and obtaining sexual pleasure. Based on whether the patient has nocturnal emissions and whether they can ejaculate under sexual stimulation, anejaculation can be divided into functional anejaculation and organic anejaculation.
Advice: You have been married for 2 years and have been infertile due to contraception. It can be diagnosed as infertility. Occasional anejaculation cannot be diagnosed as anejaculation. The yellowish semen suggests that you undergo routine and thorough examination for prostatitis, and consider performing a culture dish insemination.

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