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The following exams can help determine the cause of the fertility problem.
Urological examination
This physical examination can identify many fertility problems. First, the urologist determines the size of the testes and examines the scrotum and rectum to evaluate the prostate and seminal vesicles.
Sperm analysis
This examination takes place at the beginning of the fertility treatment, at the time of the basic assessment; it requires the collection of a semen sample obtained by masturbation. The spermogram is a basic test that examines the quality of the sperm present in the ejaculate, as well as its consistency. It also allows to determine the number of spermatozoa (count), the proportion of spermatozoa that move (motility), their ability to move forward (progression) and the number of abnormal sperm (morphology).
- Follicle Stimulating Hormone (FSH) is a hormone that stimulates the development and maturation of De Graaf follicles in ovaries in women and spermatogenesis in humans.
- Testosterone stimulates the development of male sexual characteristics.
Testicular biopsy
This examination consists of a sample, under local anesthesia, of a small testicle fragment. The cells of this small fragment are then examined under a microscope.