Generally speaking, the husband and wife live together for two to three years after marriage. Those who have not adopted any contraceptive measures are infertile.Among the causes of infertility, the man accounted for 40 % and the female party accounted for 60 %.
After marriage, there are no children who have lived together. If the wife is not a problem, the man should go to the hospital for examination in time in order to find out the cause and treat them early. The following examinations can be performed in the hospital urology or men's department in turn.
1. History
It is important to correctly collect the medical history. Doctors must be serious and responsible and keep confidential for patients; patients must also cooperate vividly and truthfully reflect the following situations:
1. Occupation and work: Whether to contact poison (lead, mercury, phosphorus), radiation, whether high temperature operations, contact time, and whether there are protection measures; nutritional status; adverse habits (smoke, alcohol), etc.
2. Started history: Have you ever suffered from gonorrhea, mumps, tuberculosis, epididymitis, pyelonephritis, cystitis or spinal cord injury, difficulty in urinary urination, no diabetes or thyroid dysfunction, etc. The treatment conditions and effects.
3. Marriage and sexual living conditions: including attitudes to sexual life, sexual intercourse and frequency, whether there are nocturnal emission, premature ejaculation, etc., whether there are masturbation habits before marriage; how is the relationship between husband and wife, the health of his wife, whether the sexual life is coordinated, etc.; Marriage period, time cohabitation and whether to take contraceptive measures.
4. Previous inspection and treatment: The results of the men's semen test, the collection time and method; whether the treatment is the effect, the effect is; the woman's examination.
5. Family history: patients with infertility, gender malformations, genetic diseases, tuberculosis and other patients in the family.
Second, physical examination
Including the whole body and reproductive organs.Specifications are the same as internal medicine. In particular, pay attention to development, nutrition and mental conditions, but the focus is on the inspection of reproductive organs. The inspection content includes:
1. Penis: Pay attention to whether there are severe phimosis, hard constraints, tumors or abnormal development of inflammation.
2, urethra; no fistula, lower cracks, hard constraints.
3. Prostate: The size of the anal diagnosis can be checked, there are hard constraints, tubers, and can also massage the prostate solution for examination.
4. Testicles: Measure its size, palpation hardness, whether there is hardline, tenderness, and pension, whether it is cryptor test.
5. Sacrifice: Touch the hardness of the vollarization tube, whether there are nodules, tenderness, or whether there is an iconic veins.
3. Laboratory inspection
Except for the semen examination as a compulsory item, the rest should be selected depending on the specific situation of the patient:
1. Semen analysis: This helps to understand the fertility of men. It is a compulsory item for infertility. The inspection content includes color, quantity, liquefaction time, pH, sperm count, activity, survival rate and form.
2. Exposure of in vitro heterogeneity: Even if conventional semen analysis is completely normal, sometimes it is still not possible to represent the essence of sperm.In vitro heterogeneous insemination experiments can more accurately estimate the fertilization ability of sperm, and it is very valuable to judge men's fertility. Commonly uses the heterogeneous insemination experiments of human sperm penetrating hamster eggs, with the sperm of normal fertility as a control.
3. Prostate liquid examination: Normal is milky white, alkaline, and the tiny and folding lecithin particles are seen under high -power mirrors. , Or even seeing pour pus cells, lecithin particles are significantly reduced.
Fourth, endocrine examination.Release hormones or clonetin stimulation tests by promoting gonadotropin, you can understand the function of the hypothalamus-testicular axis.Testosterone levels can directly reflect the function of cells.If necessary, you can determine thyroid hormone, adrenal sebum hormone or prolactin.
(Editor in charge: Wang Shaohua)
