Post Date April, 15 2023
Q: I have been married for almost 5 years, and my wife has not been able to conceive. She has had several gynecological examinations and has said there are no problems. The doctor said it may be a problem with the male partner and asked me to undergo a comprehensive examination on male infertility. Therefore, I would like to know what "comprehensive" examinations are available?
Answer: The examination of male reproductive ability mainly depends on semen analysis, male hormone level determination, prostatic fluid analysis, penis color Doppler examination, etc.
The items for semen analysis include: semen volume, color, viscosity, pH, semen liquefaction, sperm motility, sperm density, total sperm count, etc.
Male sex hormone tests include androgens (mainly testosterone), estrogen, growth hormone, etc.
Prostatic fluid analysis usually uses massage to collect prostatic fluid. The normal prostatic fluid is milky white and slightly acidic. PH 6.3-6.5, containing 286 mg% of total fat, with phosphorus accounting for 65%. Under a high-power microscope, small and refractive lecithin particles can be seen filling the field of view, with a white blood cell count of ≤ 5/hp, and a few epithelial cells, amyloids, and sperm can be seen. When the prostate is inflamed, microscopic examination shows an increase in white blood cells, visible pus cells, and a significant decrease in lecithin particles.
Penile color Doppler examination: mainly to observe the blood flow situation of the penis, whether there is arteriovenous leakage, etc.
(Intern Editor: Cai Junyi)
