Molnár J
Zentralbl Gynakol. 1975;97(8):475-80.
The identification of men's fertility troubles is based upon a modern spermatogram. This procedure comprehends a laboratory action which contents the strict following of the examination requirements, and the preparing of a so-called simple (or, if necessary, an "extended") spermatogram. Then comes the genital, somatic examination, which discovers the possibly existing shortages of this field. In special cases it is also desired to clear up additionally the endocrine, hormonal state of the patient. So the results of the analyses will not only give information about the grade of fertility, but they also give a prognosis, and show the possible ways of therapy, in the same time. If reasonable, the testisbiopsy should be made. This could give some valuable datas to discover the shortages in the parenehyma, and to obtain a right prognosis. In case if both parties in the marriage can be considered as fertile, but yet, no sign of the pregnancy appears, the matter will belong to the immunologist, even regarding the sperma-autoimminulogy. Nowadays the genetist is to be initiated, too, if early, of habitual abortions happen, which can not be explained within the field of gynecology, or if any anomalies of evaluation appear at the offspring. Since these examinations neither cause uncomfortabilities, nor risici to the men, it is reasonable to the men to prepare the andrological clear-ups first. Their results mostly can provide the gynecologists searching the origin of sterility with important depending points.
男性生育问题的诊断基于现代精液分析。该过程包括一项实验室操作,其中包含严格遵循检查要求以及制备所谓的简单(或必要时的“扩展”)精液分析报告。接下来是生殖系统和身体检查,以发现该领域可能存在的缺陷。在特殊情况下,还需要进一步明确患者的内分泌和激素状态。因此,分析结果不仅能提供有关生育能力等级的信息,还能给出预后情况,并同时显示可能的治疗方法。如果合理,应进行睾丸活检。这可以提供一些有价值的数据,以发现实质组织中的缺陷并获得正确的预后。如果婚姻双方都被认为有生育能力,但仍未出现怀孕迹象,即使涉及精子自身免疫,此事也将由免疫学家处理。如今,如果早期发生习惯性流产且在妇科领域无法解释,或者后代出现任何评估异常,也需要遗传学家介入。由于这些检查既不会给男性带来不适,也不会带来风险,所以男性首先进行男科检查是合理的。其结果大多能为寻找不育原因的妇科医生提供重要的依据。