What tests should men undergo for infertility evaluation?

Dec 29, 2022 Source: Cainiu Health
Dr. Li Mingchuan
Introduction
The first test for male infertility is an endocrine evaluation, because the endocrine system directly affects a man's sexual and reproductive functions. If a man has endocrine abnormalities, it can easily lead to poor sperm quality; therefore, this is the primary test for male infertility. The second test for male infertility is a routine semen analysis, which clearly reveals the quality of a man's sperm.

In daily life, many couples who wish to have a healthy and intelligent baby maintain regular sexual activity but fail to conceive. They may then consider medical examinations to determine whether they suffer from infertility. What tests should men undergo for infertility evaluation?

What tests should men undergo for infertility evaluation?

The first test for male infertility is an endocrine examination, because hormonal levels directly affect a man's sexual function and reproductive capacity. If a man has an endocrine disorder, it can easily lead to poor sperm quality; therefore, this is the primary test in evaluating male infertility.

The second test for male infertility is a routine semen analysis. This test clearly reveals the quality and quantity of a man's sperm. Since infertility is already suspected, the man's semen parameters are likely abnormal. In addition to the standard semen analysis, it is also important to perform a seminal plasma biochemical test, which provides better insight into whether organs such as the epididymis, prostate, and seminal vesicles are functioning normally.

The final required test for male infertility is a microbiological examination. This test primarily checks whether the man has any infection in the reproductive system, such as infections caused by Mycoplasma, Chlamydia, HPV, gonococcus, or Treponema pallidum (syphilis). It is also important to examine whether the prostate shows any abnormalities. If any infections or issues are detected, they must be treated before attempting conception. We hope this information is helpful to you. Wishing you good health and happiness.

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