Post Date December, 03 2023
When male infertility occurs, male friends first need to check the specific location of the disease and receive targeted treatment in order to cure it. So, what are the tests that need to be done for male infertility?
Physical examination
Beard, Adam's apple, breast, pubic hair, penis, excessive foreskin, presence of hypospadias in the urethra, testicular size, presence of hydrocele in the testicles, swelling or nodules in the head, body, and tail of the epididymis, presence of varicocele, vas deferens, etc.
Semen examination
Sperm dynamic analysis, morphological analysis, spermatogenic cytology analysis, seminal plasma biochemistry, functional analysis (sperm acrosin, sperm DNA), seminal plasma microorganisms, seminal plasma immunology, endocrinology, testicular pathology and other examinations.
Serum sex hormone test
Mainly including follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), prolactin (PRL), estradiol (E2), etc., to evaluate testicular function and determine whether azoospermia is obstructive or non obstructive.
Serum inhibin-B test
Assessing testicular spermatogenic function is more sensitive than serum FSH.
Chromosome karyotype analysis and Y chromosome microdeletion test in peripheral blood
Peripheral blood chromosome karyotype analysis is applicable to azoospermia, severe oligozoospermia, 100% teratospermia, necrospermia, primary testicular dysplasia, unexplained recurrent miscarriage in the female partner, and fetal arrest. The examination of Y chromosome microdeletion is applicable to azoospermia and severe oligospermia with normal or small testicular development.
B-ultrasound examination
Beard, Adam's apple, breast, pubic hair, penis, excessive foreskin, presence of hypospadias in the urethra, testicular size, presence of hydrocele in the testicles, swelling or nodules in the head, body, and tail of the epididymis, presence of varicocele, vas deferens, etc.
1. Scrotal ultrasound: observe diseases of the testicles and epididymis, as well as the presence of varicocele.
2. Transrectal ultrasound: Check the condition of the prostate, seminal vesicles, and ejaculatory ducts.
Vas deferens angiography
Trauma and risk, eliminated and replaced by seminal plasma biochemistry.
Testicular biopsy
It is traumatic, painful and risky. It is mainly used for patients with azoospermia and is ready to be used as test tube babies.
