First, routine semen analysis
Routine semen analysis can generally be used as inspection items for various related diseases, which also illustrates the accurate authority of the results of this inspection.For this disease, the main point of diagnosis is mainly to check the sperm count of semen testing at less than 20 × 106/ml (the average value of the results of 3 tests) and/or the total number of sperm sperm of one sperm is less than 40 × 106/ml.Other items, such as sperm survival rate, activity, deformity, semen, viscosity, and liquefaction time, it can be normal or abnormal.
Second, routine prostate examination
Diagnosis helps to understand the texture, size and tenderness of the prostate.Prostate liquid mirror test helps judges.
Third, endocrine measurement
Endocrine hormone levels, especially serum hormones T, LH, FSH, E2, PRL and other projects are of great significance to the diagnosis of this disease.If the FSH increases significantly, it is mostly primary sperm symptomia; if the FSH and LH are lower than the normal value, it is mostly a secondary sperm symptom; the elevation of the PRL indicates that the minor sperm disease caused by hyperculin lesions.
Fourth, color ultrasound
This law can detect the sub -clinical cable varicose veins.Standen check.The inner diameter of normal sperm vein is within 2mm, when the venous is tension, it reaches 3mm or more, and the venous branch increases.
Points of diagnosis
Before treating weak sperm disease, you must correctly check weak sperm disease, so as to find the cause and treat treatment.The main points of diagnosis of weak sperm are:
First, the couple have lived together for more than two years, and have not taken any contraceptive measures, and their health spouses are not pregnant.
Second, semen analysis has more than three consecutive indicators that sperm movement (A+B) "50%or A -level movement sperm" 25%, and sperm density and other parameter indicators are normal or basic, canDiagnosis is weak sperm.Or after ejaculation, the sperm activity "50%, laboratory or other auxiliary examinations can find reproductive tract infections, or other diseases that affect sperm activity, and can also be diagnosed as weak sperm disease.
Third, for a specific infertility patient, semen analysis may often have a variety of abnormalities at the same time. The diagnosis of weak sperm disease should also include diagnosis that may cause the cause of semen without liquefaction.It is necessary to check whether the patient merges the following diseases or abnormalities at the same time:
1. Bad living habits, such as a lot of smoking, alcoholism, often taking hot baths, long -term contact with heavy metal lead, pesticide and chemical poison.
2. Whether the patient is infected with the urogenital infection at the same time, especially the infection of chronic prostatitis and reproductive tract UU.
3. Whether the patient's genital development is abnormal and whether there is a primary disease such as small testicles, cryptor testis, and dexterous veins.
4. Autoimmune inspection, especially whether ASAB is abnormal.
5. Endocrine hormone levels, especially whether estrogen levels are abnormal.
(Editor in charge: Wang Shaohua)
