Preconception Health Checkup for Men
Mar 16, 2022
Source: Cainiu Health
Dr. Wang Jianlong
Introduction
It is recommended that men undergo routine semen analysis during the preconception period to assess sperm volume, motility, viability, progressive motility, semen liquefaction time, sperm concentration, and semen pH. Additionally, a color Doppler ultrasound of the scrotum should be performed, focusing primarily on the testes, epididymis, and spermatic cord veins, to detect conditions such as orchitis, epididymitis, varicocele, or hydrocele within the testicular cavity.
Most people assume that preconception preparation involves only the woman undergoing various medical examinations, while the man remains uninvolved. In fact, this is a misconception. Preconception health is closely tied to both partners’ lifestyles, dietary habits, and medical evaluations. Therefore, successful preconception planning requires active participation and commitment from both individuals. So, what preconception tests should men undergo? Let’s explore this together.
Preconception Examinations for Men
Men are advised to undergo a routine semen analysis during the preconception period. This test evaluates multiple parameters, including semen volume, sperm motility, sperm viability, progressive sperm movement, semen liquefaction time, sperm concentration, and semen pH. Additionally, a scrotal color Doppler ultrasound is recommended, focusing on the testes, epididymis, and spermatic cord to detect conditions such as orchitis, epididymitis, varicocele, or hydrocele.
A prostatic fluid analysis should also be performed primarily to rule out prostatitis. Additional recommended tests include antisperm antibody testing, assessment of testicular endocrine function, and urine bacterial culture—to evaluate whether inflammation in the male urogenital system may be present. Furthermore, routine blood tests (complete blood count), liver and kidney function tests, electrolyte panel, fasting blood glucose, and coagulation profile should be conducted, as abnormal coagulation function may increase the risk of fetal congenital anomalies.
Moreover, men should avoid smoking and alcohol consumption for at least three days prior to testing. Ideally, men should quit smoking and drinking at least three to six months before attempting conception. Smoking can cause sexual dysfunction and reduce conception success rates, while chronic heavy alcohol use adversely affects both fertility and embryonic development.
We hope the above information is helpful to you.
