When should a man who is not pregnant be examined?
1, semen examination
The most important thing for male pre-pregnancy examination is semen examination. Through semen examination, we can know sperm motility, oligospermia or asthenospermia, deformation rate and mortality, and judge whether there is prostatitis. And can be treated in time.
Step 2 check the urinary system
The suspicion of male genitourinary system has a great influence on the health of the next generation, so it is necessary to check the urinary system. Before the examination, you can determine whether you have parotitis, cryptorchidism, testicular trauma and operation, testicular pain swelling, hydrocele of tunica vaginalis, oblique hernia, urethral secretion, etc. And provide this information to your doctor for careful consultation.
Step 3 have a physical examination
If the man has not had a physical examination for several years and has not had a premarital examination, he should check for infectious diseases such as hepatitis, syphilis and AIDS.
During the physical examination, the doctor will ask the medical examiner and his family about their past health status, whether they have ever suffered from diseases, medical treatment and so on. Especially about mental illness, genetic diseases, etc. , check chromosomes and blood type if necessary.
Physical examination includes general and reproductive organ examination. General examination, like internal medicine, should pay special attention to development, nutrition and energy, but the focus is on the examination of reproductive organs.
View items include:
A penis: pay attention to whether there are serious phimosis, induration, inflammation, tumor or dysplasia.
B, urethra; Whether there is fistula, fissure or induration.
C. Prostate: Through anal examination, you can check its size, induration and tumor, or massage prostate fluid to check it.
D. Testis: Measure its size, palpation hardness, induration, tenderness and tumor, and whether it is cryptorchidism.
E. spermatic cord: the hardness of the vas deferens during contact, whether there are nodules and tenderness, and whether there are varicocele.
4. Endocrine examination.
The effects of gonadotropin-releasing hormone or clomiphene citrate on hypothalamus can be understood one by one. The determination of testosterone level can directly reflect the function of cytoplasmic cells. If necessary, thyroid hormone, adrenal sebum hormone or prolactin can be determined.
5.x-ray examination.
Can determine the obstruction of vas deferens, and can choose vas deferens, epididymal radiography, vas deferens, seminal vesicle radiography or urethrography. Patients with hyperprolactinemia can take X-ray film of sella turcica (frontal position) to determine whether there is pituitary adenoma.
6. Immunological examination.
Use sperm agglutination test or braking test to detect sperm agglutination antibody or braking antibody in serum or seminal plasma.
How should men take sperm for pre-pregnancy examination?
How to successfully extract sperm is not a strange topic. There are more and more methods to treat infertility, and IVF is one of them. Then there are several ways to extract sperm. In order to ensure the quality of semen, you need to abstain from sex for about a month before taking the scriptures. On the day of taking semen, you should take a good bath, change your underwear and clean the dirt in your vulva, penis and foreskin. Men should not drink and smoke in the first three months of sperm collection, try not to catch a cold and take medicine, and need to eat some nutritious food in their diet.
The first method is masturbation, which is a relatively common method. Before taking semen, clean all aspects of the body, such as washing hands and genitals, and then discharge the semen into a specially prepared sterile cup. Don't touch the edges and cups.
The second method is puncture. If men can't get sperm through masturbation on the day when women take eggs, they can only get sperm through epididymal puncture or testicular biopsy if necessary, and then fertilize the obtained sperm with women's eggs. This method is rarely used, provided that it needs cleaning.
The extracted sperm and eggs can be frozen according to the actual situation and needs of patients, and in vitro fertilization can be carried out when men are suitable for sperm collection. The quality of sperm is related to the baby's health, so fathers who want to in vitro fertilization must follow the doctor's advice.
Precautions:
It is particularly important to note that in order to ensure the quality of semen, it is necessary to abstain from sex for one to two months before taking the scriptures, and it is best not to drink or smoke for three months before taking the scriptures, and it is best not to take medicine. The diet needs to be varied and good, and some nutritious foods should be eaten to relax.