Male subfertility

 

Q.10 Clinical Examination of Male Partner: general survey:   A tall, robust, less beard, scanty moustache- May speak in favour of Klinefelter’s Syndrome. Body hairs, Gynaecomastia, H/O Bronchiectasis, Situs inversus. Degree of androgenization, Ht, Body hairs, any gynaecomastia,

Local exam:, Scrotal examination :   Skin of scrotum-Scabies, Ulcers  -Local infections of skin, Ulcers of scrotum/ penis, phimosis, Urethral  discharge , etc

Filariasis, Hydrocele, Inguinal Hernia B) Testes:-Size, consistency of testes, tenderness, absence of testes, Retractile tetses varicocele, , Abd testis C) Epididymis :  Palpation of epididymis / any vas thickening, tenderness, Epididymal cyst, , Filariasis .

PR Exam: Palpable seminal vesicles, Enlarged prostate, Q.11 : Investigations, of male partner.-- Investigations of male subfertility:-genl : BMI, Abd obesity, Any lymphadenopathy ,Hepatosplenomeagly ,.Diabetes , HTN exclusion, Hepatiis serology, Viral Screen,

 

1. Routine semen analysis, Scrotal sonography with Doppler, TRUS(Trans Rectal sonography)    2. Hormones 3.Tests for systemic diseases,   4. Sperm function tests, 5. Chromosomes,   6. Aspiration of testicular materials, and concurrent Cryofreezing 7. Gene testing,

8.Vasography(Obsolete )

 

 

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