What to check for male infertility?

In many rural areas, because people lack relevant scientific knowledge, husbands will blame their wives whenever they cannot get pregnant. But in fact, if a woman cannot get pregnant normally, it may be a problem with the woman herself, but it is also very likely that there is a problem with the man. Therefore, both men and women need to go to the hospital for examination. So what items need to be checked for male infertility?

What to check for male infertility?

1. Microbiological examination related to male infertility: Male urinary and reproductive system infections often lead to male infertility. The pathogenic microorganisms related to male urinary and reproductive system infections include bacteria, viruses, spirochetes, mycoplasmas, chlamydia, etc. Common ones include gonococci, papillomavirus, adenoplasma, Chlamydia trachomatis, etc.

2. Genetic examination related to male infertility: The normality of male chromosomes and genes is the basis for maintaining normal reproductive function. Abnormalities of chromosomes and genes can lead to abnormal sexual differentiation and/or sperm production disorders, which can seriously affect reproductive function and may lead to male infertility. Therefore, it is very important to perform chromosome and gene examinations on couples with abnormal sexual differentiation or other genetic defects, azoospermia and severe oligospermia, a family history of genetic diseases, or habitual miscarriage.

3. Routine semen examination: This is the most basic and important clinical indicator for determining male fertility. The parameters of semen are what doctors need to know first. Male infertility patients should pay attention to: do not have sex for 3-5 days before the examination; it is best to use masturbation to obtain samples; ensure that all semen is obtained; and recheck 1-2 times within 2 weeks.

4. Endocrine examination related to male infertility: Reproductive endocrine dysfunction affects male sexual and reproductive functions and is an important cause of male infertility. Endocrine examinations mainly involve the determination of sex hormones T, FSH, LH, PRL, E2 and various stimulation tests, such as HCG stimulation test.

5. Biochemical examination of seminal plasma: The analysis of chemical composition of seminal plasma helps to understand the functions of epididymis, prostate and seminal vesicle. When male infertility patients have low semen volume, azoospermia, oligospermia, unexplained decreased sperm motility, congenital defects of accessory glands and diseases of accessory glands, they can undergo biochemical examination of seminal plasma. Commonly found substances include fructose, botulinum toxin, acid phosphatase, etc.

6. Prostatic fluid examination: Prostatitis can cause male infertility. Prostatic fluid examination can provide a basis for the diagnosis of prostatitis.