In recent years, more and more men have developed infertility, but a considerable number of male friends refuse to seek medical treatment due to their shyness. Some people, due to their unclear understanding of infertility in the early stages, wait until the condition becomes extremely severe before seeking treatment. Little did they know that the early stage of infertility is relatively mild and the best period for treatment. Nurturing a disease is like nurturing a tiger. Male friends with infertility should not avoid seeking medical attention and seek medical attention promptly.
How to check for male infertility?
In recent years, the pressure on men has also increased, coupled with unhealthy lifestyles and a mentality of avoiding medical treatment, which seriously affects men's physical health, especially reproductive health, and also affects family happiness. The diagnosis of infertility is mainly based on the definition of the World Health Organization (WHO): those who do not have contraception after marriage and have normal sexual activity for more than one year cannot conceive. Some infertility will have related symptoms, such as white turbidity, ejaculation pain, dysuria, azoospermia, too few sperm, impotence, blood sperm, etc., but this is not necessarily a symptom, many infertility patients have no obvious symptoms.
Three tests for male infertility
The first analysis of chromosomal factors
When the number of sperm is too low, the motility is too low, the sperm is deformed in large numbers, or there are no sperm at all, chromosomal issues should be considered. If a male has underdeveloped secondary sexual characteristics or sexual dysfunction with feminization, an average volume of less than 10 milliliters on both sides of the testicles, higher levels of follicle growth hormone, or if the testicles are developing normally and the secondary sexual characteristics are developing normally with very little or no sperm, further examination of the autosomes should be conducted. The common chromosomal abnormality is 47, XXY type. Once confirmed by examination, there is no need for treatment because treatment cannot be effective.
The second test is 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.
The third item is for special item 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 studies have found that in some cases where pathogenic microorganisms, including ureaplasma urealyticum, are positive in semen, 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.