Patient's question:
I have been married for 3 years. When I got married, my wife and I both wanted a child. However, after 2 years, she still hadn't conceived. Today, we went together for a check-up and found out that I have infertility. I was very surprised and couldn't believe what the doctor said.Doctor's answer:
Due to the many factors or causes that can lead to male infertility, such as congenital developmental abnormalities, cellular genetic chromosomal abnormalities, hypothalamic-pituitary-gonadal dysfunction, endocrine dysfunction, sexual dysfunction, and reproductive tract infections, as well as psychological factors, any of these could be a contributing factor or cause. Therefore, male infertility primarily requires the following types of examinations:Semen routine examination
This is the most basic and important clinical indicator for assessing male fertility. The parameters of semen are the first information doctors need to understand. Patients should note the following:
- Abstain from sexual activity for 3-5 days before the examination;
- Ensure proper specimen collection;
- Make sure all semen is obtained;
- Repeat the test 1-2 times within 2 weeks.
Semen biochemical examination
Analyzing the chemical composition of semen helps assess the function of the epididymis, prostate, and seminal vesicles. This test is recommended for patients with conditions such as low semen volume, azoospermia, oligospermia, unexplained reduced sperm motility, congenital defects of accessory glands, or diseases of accessory glands. Commonly tested parameters include fructose, carnitine, and acid phosphatase.