How to test for male infertility?

This is an automatically translated article.

The article was professionally consulted by Doctor Nguyen Ba Hung - Reproductive Support Center - Vinmec Times City International General Hospital. Gynecologist Nguyen Ba Hung is a professional, dedicated and responsible doctor with more than 15 years of experience in the treatment of male diseases, infertility - infertility as well as sexually transmitted diseases.
Currently, the situation of male infertility is constantly increasing, this has a significant impact on psychology and life. To limit this situation, the examination and examination of male infertility is really necessary to detect the disease early and have timely treatment methods.

1. Male infertility

Male infertility is when the body does not produce enough sperm quality and quantity, resulting in low, weak, malformed, dead or blocked sperm from being ejaculated from the vas deferens. Factors such as: illness, injury, chronic diseases, food, lifestyle... can play a role in male infertility.

2. Male Infertility Examination

Examining male infertility to properly diagnose a medical condition can be one of the most difficult challenges a man faces. However, with the advancement of medicine, there are methods to treat male infertility, helping patients to perform their natural tasks.
How to check male infertility?
Your doctor will use a number of methods to diagnose male infertility, including:
General exam: This includes examining the genitals and asking questions about genetic conditions, problems with Chronic illness, injury, or surgery can affect fertility. Your doctor may also ask more about your sexual habits during puberty. Semen analysis: Semen samples need to be provided for testing. Semen will be collected and sent to a laboratory to count the sperm count and evaluate for any abnormalities in the shape (morphology) and movement (motility) of the sperm. The lab will also examine the semen for associated signs such as infection. Usually the sperm count fluctuates considerably from sample to sample. In most cases, several semen analysis tests are done over a certain period of time to ensure accurate results. Tests to help determine the cause of male infertility such as:
Ultrasound of the scrotum: This test can help your doctor see if there is a varicocele in the scrotum, dilated epididymis, microcalcifications of the testicles. or other problems in the testicles, epididymis, and scrotum. Hormone tests: Sex hormones such as: Testosterone and gonadotropic hormones such as FSH, LH are produced by the pituitary gland and play a major role in sex development and sperm production. Abnormalities in other hormonal systems or organs such as increased prolactin, or estradiol can also contribute to infertility. Urine test after ejaculation: Sperm in the urine may show sperm Sperm are moving backward into the bladder instead of out of the penis during ejaculation (retrograde ejaculation). Genetic testing: When sperm concentration is extremely low or no spermatozoa can be found in these cases, genetic abnormalities such as: Y chromosome deletion, Klinefelter syndrome.... Biopsy. Testicular : Testicular surgery or fine needle aspiration to remove a sample from the testicle to evaluate the structure of spermatogenic cell lines. If testicular biopsy results show that sperm production is normal, then the problem may be due to a blockage or another problem related to sperm transport. Specialized sperm function tests: Several tests may be used to check how well the sperm survives ejaculation, how well the sperm can penetrate the egg, and whether there are any problems. What happens when the sperm meets the egg? However, it is a test that is rarely done and usually does not significantly change treatment recommendations. Rectal ultrasound: This method uses a small, lubricated transducer inserted into the rectum to examine the structure of the prostate gland, seminal vesicles, ejaculatory ducts, and blockages. The cure for male infertility depends on the cause and extent of the disease. If male infertility is caused by atrophy of spermatogenic germ cells, it is difficult to treat and must seek sperm. On the contrary, if the cause is physiological, low sperm count, low sperm count or common disease, the chance of cure is very high and the treatment cost is inexpensive.
Where to check male infertility?
Vinmec Reproductive Center is the leading modern center in Vietnam, built and applied a comprehensive medical examination and treatment process, combining both male and female obstetrics and gynecology to offer the optimal plan. for each patient case. Up to now, Vinmec IVF fertility center has provided fertility support to over 1000 infertile couples with a success rate of over 40%. This rate is equivalent to developed countries such as UK, USA, Australia,...
With high professional level and extensive experience, Vinmec's team of experts is capable of deploying. Synchronize and comprehensively the most advanced assisted reproductive techniques today, helping to realize the dream of parenthood of hundreds of families across Vietnam.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Reference sources: .mayoclinic.org, webmd.com.