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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.
Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
A detailed patient history may reveal abnormal sexual development, delayed puberty, infertility in previous relationships, and a medical history of prolonged fever, mumps, impaired nutritional status, previous surgery, or trauma to genitalia. After a thorough patient history and physical examination, the most conclusive test for male infertility is semen analysis. The specimen is collected after 2 to 3 days of complete abstinence to determine volume and viscosity as well as sperm count, motility, swimming speed, and shape.
Other laboratory tests include gonadotropin assay to determine the integrity of the pituitary gonadal axis, serum testosterone levels to determine end organ response to luteinizing hormone (LH), urine 17-ketosteroid levels to measure testicular function, and testicular biopsy to help clarify unexplained oligospermia and azoospermia. Vasography and seminal vesiculography may be necessary.
Source: Professional Guide to Diseases (Eighth Edition), 2005
A detailed patient history may reveal abnormal sexual development, delayed puberty, infertility in previous relationships, and a medical history of prolonged fever, mumps, impaired nutritional status, previous surgery, or trauma to the genitalia.
After a thorough patient history and physical examination, the most conclusive test for male infertility is semen analysis. Other laboratory tests include gonadotropin assay to determine the integrity of the pituitary gonadal axis, serum testosterone levels to determine organ response to luteinizing hormone (LH), urine 17-ketosteroid levels to measure testicular function, and a testicular biopsy to help clarify unexplained oligospermia and azoospermia. Vasography and seminal vesiculography may be necessary.
Source: Handbook of Diseases, 2003
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