What items in a men’s physical examination can test fertility?

In order to ensure good health, men should develop a good habit of going to the hospital for regular checkups. In the hospital, there are many items used to check physical health, including items to test men's fertility. What do these items include? Let me tell you now.

1. Routine examination of semen

This is the most basic and important clinical indicator for determining male fertility. The parameters of semen are what doctors need to know first. Patients should pay attention to the following: do not have sex for 2-7 days before undergoing this male reproductive system examination; it is best to use masturbation to obtain the sample; ensure that all semen is obtained; and recheck 1-2 times within 2 weeks.

2. Endocrine examination

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

3. Prostatic fluid examination

Can cause male infertility. Prostatic fluid examination in male reproductive system examination can provide a basis for the diagnosis of prostatitis.

4. Biochemical examination of serum

Analysis of the chemical composition of seminal plasma helps to understand the functions of the epididymis, prostate, and seminal vesicles. When patients have low semen volume, azoospermia, oligospermia, unexplained decreased sperm motility, congenital defects of accessory glands, and accessory gland diseases, they can undergo a seminal plasma biochemical test as part of the male reproductive system examination. Common tests include fructose, botulinum toxin, and acid phosphatase.

5. Microbiological examination

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.

6. Genetic testing

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