Post Date December, 03 2023
Giving birth to life can be one of the major events in every family, and many times we encounter infertility. Especially in today's society with excessive pressure, infertility is even more common. So why is male infertility? How can male infertility be determined? Today, we will introduce in detail the commonly used tests for male infertility.
1. Check for gonadotropins:
The determination of gonadotropins has important value in determining the functional status of the male hypothalamic pituitary gonadal axis. By observing the levels of follicle stimulating hormone, the degree of testicular development or damage can be understood. Under normal circumstances, the spermatogenic effect of the male seminiferous tubules is mainly promoted by the secretion of pituitary follicle stimulating hormone. Of course, this needs to be achieved when the androgen testosterone is normal, as there is insufficient testosterone in the blood, and even if the pituitary gland secretes normal follicle-generating hormone, there may be problems with its semen. In terms of simple testicular underdevelopment, the poorer the testicular development, the more obvious the obstacle to spermatogenesis, and the higher the follicle forming hormone value in the serum. In addition, the detection of luteinizing hormone and prolactin also has very important clinical value.
When the testicular spermatogenic function is impaired, the response of luteinizing hormone is significantly lower than that of follicle forming hormone. When chromosomal abnormalities and testicular atrophy occur, luteinizing hormone levels are also significantly higher in individuals with normal chromosomes. For male infertility patients with high levels of luteinizing hormone, it is suggested to consider whether the chromosomes are normal. The increase of prolactin will also lead to male infertility. Testis atrophy, decrease of sperm number and decrease of sperm motility are common.
2. Conduct special project inspection:
Anti sperm antibody test. People who are positive for anti sperm antibodies often have other problems at the same time, and some are also closely related to this positivity. For patients with extremely poor sperm quality, low sperm count, and a large number of abnormal sperm, although the possibility of chromosomal abnormalities is ruled out, anti-sperm antibody testing must be carried out, because positive anti-sperm antibody itself can completely lead to this, and positive anti-sperm antibody may also be accompanied by other problems. For example, about 70% of people with positive anti sperm antibodies are also infected with ureaplasma urealyticum, which is one of the important reasons for infertility. Clinical research at Chongqing Union Medical College Hospital has found that in some cases of positive pathogenic microorganisms in semen, including ureaplasma urealyticum, there is a significant increase in the content of anti sperm antibodies in semen.
Whether it is anti sperm antibodies or ureaplasma urealyticum, they are the "enemies" of sperm quality. In patients infected with Ureaplasma urealyticum, the positive rate of anti sperm antibodies is much higher than in normal non infected individuals, indicating that male Ureaplasma urealyticum infection is a trigger for the production of anti sperm antibodies. If a patient is positive for anti sperm antibodies, further examination for Ureaplasma urealyticum should be conducted. If a positive result is found, treatment should be given simultaneously.
The above is the commonly used examination methods for male infertility that we have prepared for you today. More information needs to be searched and searched for by everyone. Friends with conditions can also consult a professional doctor for one-on-one consultation. It is recommended that everyone pay more attention to their physical health in daily life, stay away from smoking and alcohol, avoid overeating, and seek medical attention promptly when encountering problems.
