For a long time it was believed that infertility is a predominantly female disease. However, today it is proven that the incidence of infertility in men and women is approximately the same.
Therefore, if a couple of reproductive age has not become pregnant within 12 months of unprotected sex, it is necessary to consult a specialist.
What awaits the man in the andrologist’s office?
- Detailed collection of anamnesis;
- General Survey;
- Detailed examination of the reproductive system;
- Additional examination methods (laboratory, instrumental)
The main method of detecting male inability to conceive is sperm testing and determining its composition. The patient is asked to take the test directly at the center of reproduction after 2-3 days of abstinence from ejaculation.
As a result of qualitative and quantitative examination of male semen, the doctor is able to identify such factors of infertility as:
- reduction in the number or absence of sperm in the ejaculate;
- impaired sperm activity / motility;
- sperm pathology.
If necessary, the andrologist may prescribe a list of laboratory and instrumental examinations needed to form a complete picture of the problem.
General clinical trials:
- General blood test (18 parameters) + leukocyte formula + ESR
- Urethral swab
- Biochemical blood tests
- Hormonal studies (FSH, LH, testosterone, prolactin and others)
- Diagnosis of syphilis-RPR
- Determination of HIV antibodies (ELISA)
- Determination of antibodies to hepatitis C virus (anti-HCV sum.) (ELISA)
- Determination of HBs antigen (ELISA)
After receiving the test results, the andrologist will be able to choose an individual treatment regimen for each case.