Medical history of the man

The investigation of infertilityDifficulty for a man or a woman to procreate as a result of a functional disorder or an organic lesion of the reproductive system, generally acknowledged after one year of regular, unprotected sexual relations. in men is usually performed by a urologist or andrologist, especially when the spermEjaculated spermatozoa and secretions during the male orgasm. test has revealed unexplained abnormalities. The doctor usually makes an assessment based on the following tests:

• Complete medical examination. Search for testicular irregularities, such as partial or non-descent of the testiclesMale genitalia located in the scrotum. They secrete the male hormone testosterone and produce the male reproductive cells, the spermatozoa., presence of a varicoceleVaricose veins at the level of the testes., absence of the vas deferens, presence of a tumor.
• Complete history on the following aspects: chronic diseases, childhood diseases, injuries, pelvic operations of the abdomen and of the genital organs, treated cancers, use of drugs or anabolic drugs.
• He also checks whether there was an early puberty (resulting from a hormonal disorder), delayed puberty (Kallmann syndrome), pregnancy, the sexual function and the understanding of the female menstrual cycle, the absence of sexually transmitted diseases, the use of toxic lubricants.

He will then establish whether the elements noted above can explain all or part of the spermEjaculated spermatozoa and secretions during the male orgasm. test results.

In case of azoospermiaAbsence of spermatozoa in the semen., the recorded results should help to clarify its origin (whether mechanical or secretory) and lead to a possible testicular biopsyUnder anesthesia, some tissue is removed from the testicle in order to analyze it (presence or absence of spermatozoa, or other cells). combined with cryopreservationProcess for the preservation of eggs and sperm by freezing. Thanks to the cryopreservation of zygotes the risk of multi-fetal pregnancy after IVF and ICSI can be reduced and the patient doest not need to repeat the hormonal stimulation and the collection of oocytes. of the tissue samples.