Examinations at the man

The physician or the woman doctor gets an image of the general condition of the man first. The testicles and epididymises are by feel examined. The feeling examination by the rectum is carried out at the prostate and the seminal vesicles. Perhaps an ultrasound of the two testicles and the prostate is also carried out. These diagnostic procedures are commonly painless and harmless.

Spermiogram
The ejaculation is checked for being missing, number, mobility and form of the spermiums. By masturbation the seminal fluid is won after around three sexually abstemious days. The sperm quality is examined microscopically and written down in a spermiogram. The quality of the sperm can vary strongly. Colds or also life phases lead much stress for example for the reduction of the semen quality of the man. The examination is therefore carried out in approximately one-month distance once more. A sperm quantity of 2 -5 ml is regarded as reference values for the sperm quality with a spermium number of 20 millions or more per milliliter. Should be more than 50% mobile and have more than 30% a normal form.

Hormone state
Are a hormone examination becomes very few sperm cells in the spermiogram carried out. Hormones play a decisive role for the semen cell production (spermatogenesis). Among other things the values of FSH and LH are intended for it. They are necessary for the end maturation of the sperm cells at the man. Of course its test is necessary since the testosterone mirror influences the formation of FSH.

Tissue specimen from the testicle (testicular biopsy)
If no spermium is available in the ejaculate for example after inoperable spermatic duct closures or after tumor operations at all, be able to or epididymis still to 75% spermiums from the testicles won be. Tissue specimens are taken and examined under the microscope under anesthesia. The tests can be then deep-freezed and processed once more. The withdrawal is therefore often necessary only once.


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