It is recommended that on your first visit with the Andrologist, you come with your partner in order to provide more information about the different factors relating to the infertility.
The clinical basics for the gentleman, along with other complementary studies, will be studied. Once the diagnosis has been established, the Andrologist will be able to establish the appropriate treatment in order to improve or normalize the semen. If this is not possible, you have to resort to the techniques of assisted reproduction.
In this first consultation the Andrologist will carry out the following:
1. Clinical history
Consisting of a full clinical questionnaire, including both personal and family history of the patient. The doctor will ask questions about age, profession, emotional state, illnesses suffered since and during childhood, if you suffer from any allergies, if you smoke, if you are taking or have taken drugs, your daily intake of alcohol, frequency of complete sexual relations, etc.
2. Physical examination
-This scan provides a great deal of useful data, and in many occasions, has also provided the definitive diagnosis. Firstly, there is a general examination to analyze the secondary sexual characters, i.e. distribution of facial, underarm, chest, and pubic hair and its amount. Palpation of the thyroid gland and breast.
-Then there will be a genital examination, to see if there are potential dermatological lesions, or other abnormalities. Also to look at the size, shape, consistency and location of testes to rule out any abnormalities that may lead to lower sperm production. Palpation is also used to detect the possible presence of testicular varicose veins that can cause a varicocele.
-Finally there will be a rectal examination to assess the state of the prostate.
3. Clinical evaluation of the seminogram
Semen can present large biological variations in a single individual and, for this reason; it is recommended that at least two analyses are carried out on different days, of the ejaculation.
The results obtained from the analysis of the semen will serve for either further investigation of the quality of the sperm, with complementary diagnostic tests, either to deepen the female causes of your partner, in order to establish a diagnosis and subsequent treatment.