What are the contents of male infertility tests?

Male infertility is the most worrying disease for many male friends who want to have children, because it is not only difficult to treat, but also causes difficulties in fertility. The examination of male infertility plays a vital role in the treatment of male infertility, directly affecting the diagnosis and treatment of the disease, so it deserves attention. So what are the contents of the examination of male infertility? Let's learn about it together.

Laboratory inspection

In addition to semen examination as a mandatory item, the rest should be selected according to the patient's specific situation:

1. Semen analysis: This helps to understand male fertility and is a must-check item for infertility. The examination content includes color, volume, liquefaction time, pH, sperm count, motility, survival rate and morphology.

2. Examination of prostatic fluid: Normally, it is milky white and alkaline. Under a high-power microscope, tiny, refractive lecithin particles can be seen filling the field of vision, as well as a few epithelial cells, amyloid bodies and sperm. The number of white blood cells is greater than ten. When there is inflammation, the number of white blood cells increases, and even piles of pus cells may be seen. The number of lecithin particles is significantly reduced.

3. Endocrine examination: The function of the hypothalamus-pituitary-testis axis can be understood through gonadotropin-releasing hormone or clemiphene stimulation test. The testosterone level can directly reflect the function of stromal cells. If necessary, the adrenal cortical hormone or prolactin can be measured.

4. Doppler ultrasound examination: helps to confirm varicocele.

5. X-ray examination: To determine the site of obstruction in the vas deferens, vasoconstriction, epididymography, vasoconstriction, seminal vesiculography or urethrography can be used. For patients with hyperprolactinemia, an X-ray tomography of the sella turcica (anteroposterior and lateral views) can be taken to determine whether there is a pituitary adenoma.

6. Testicular biopsy: used for azoospermia or oligospermia, to directly examine the spermatogenic function of the seminiferous tubules of the testicles and the development of interstitial cells. The synthesis and metabolism of local hormones can be reflected by immunohistochemical staining.

7. Chromosome karyotype analysis: used for external genital organ malformations, testicular dysplasia and unexplained azoospermia.

The above is the content of male infertility examination. After reading it, you will have a certain understanding of this. I hope that the majority of male friends must go for a comprehensive examination before marriage. Even if there are physical problems, you should be mentally prepared in advance. This is not something embarrassing. Early detection and early treatment, I hope everyone can give birth to a lovely baby.