Diagnostic Tests for Male infertility
Male infertility: Diagnostic Tests
The list of diagnostic tests
mentioned in various sources as
used in the diagnosis of Male infertility
includes:
Male infertility Tests: Book Excerpts
Home Diagnostic Testing
These home medical tests may be relevant to Male infertility:
- Pregnancy -- Related Home Testing:
- Fertility-related Home Testing:
- Male Fertility Tests
- Menopause: Related Home Testing:
- Vaginal Health: Home Testing:
- Breast Cancer: Related Home Tests:
Male infertility Diagnosis: Book Excerpts
Diagnostic Tests for Male infertility: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the diagnostic tests for Male infertility.
INFERTILITY, MALE:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
Routine laboratory tests include a CBC, urinalysis, chemistry panel, thyroid profile, VDRL test, and sperm count. If there is a urethral discharge, a smear and culture should be done. If the sperm count reveals oligospermia on two separate specimens, referral should be made to a urologist or endocrinologist for further evaluation.
Additional tests that can be ordered include blood tests for LH, FSH, and testosterone. Additional tests of pituitary function may be indicated. Karyotype testing and sperm function tests may be needed. If these are normal, a testicular biopsy may need to be done. Ultrasonography of the testicles may be helpful.
» READ BOOK EXCERPT ONLINE »
Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
INFERTILITY, FEMALE:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
Routine studies include a CBC, urinalysis, urine culture and colony count, chemistry panel, thyroid profile, VDRL test, and a vaginal smear and culture. Cervicitis should be biopsied and treated. The next logical step is to obtain a specimen of semen from the husband for sperm count.
If the above tests are negative, referral to a gynecologist is in order. If one is not available, further workup can be done, including a serum FSH and LH, serum estradiol, and serum progesterone to determine the presence of pituitary or ovarian causes of ovulatory dysfunction. A hysterosalpingogram can be done. The patient can keep a temperature chart to determine if ovulation occurs. Cervical mucus studies can be done for spinnbarkheit testing and
ferning
, and the presence of significant white cells should be noted. Pelvic ultrasound may be done, and laparoscopy may be necessary to rule out other conditions that may affect fertility. A trial of clomiphene citrate may be given. Endometrial biopsy may also contribute to solving the diagnostic dilemma.
» READ BOOK EXCERPT ONLINE »
Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
Infertility:
Diagnostic Approach
(Field Guide to Bedside Diagnosis)
Couples should be encouraged to attempt to conceive (unprotected intercourse) for 1 year before undergoing evaluation. Ovulation usually occurs if there have been spontaneous, regular, cyclic menses, but this can be confirmed by daily measurement of basal body temperature. The sperm count and motility can be ascertained to be adequate only by semen analysis. Male factors account for about 25% of infertility.
Interpersonal issues such as career stress, differences in desire for children (a clue is that one partner only seeks evaluation), or unacknowledged homosexual preference may interfere with effective coitus.
» READ BOOK EXCERPT ONLINE »
Source: Field Guide to Bedside Diagnosis, 2007
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