My wife and I have been married for 1 year, have not used any contraception, but my wife has not conceived. My wife went to the doctor and the results were normal. I’m worried it might be me. Please tell me, what should I check for infertility?

23/01/2024

Hello!

We empathize with your situation. You do not worry too much because that can become psychological stress, cause endocrine disorders, erectile dysfunction, … affect married life. In the case of the family, the couple should go for a reproductive health checkup because there are causes related to both, husband or wife alone cannot be resolved. Therefore, you and your wife should go to reputable medical facilities specializing in Andrology and Infertility to be examined, it will be a wise choice for the family at this time.

For the husband, the most important thing is to abstain from ejaculation for 3-5 days, in about 4 days is best to be able to perform a semen analysis – an important test to assess the quantity and quality of sperm. In addition, on a case-by-case basis, the gynecologist may order an examination and additional blood tests (hormonal assessment, genetic assessment through chromosomal testing, assessment for infectious diseases, …) or scrotal ultrasound (evaluate testicles, epididymis, bilateral seminal veins), penile ultrasound (evaluate incoming and outgoing blood flow, fibrous plaques if present, condition of spongy urethra, …) , … Based on the test results, the orthodontist will advise and give advice in accordance with the husband’s condition as well as the family’s desire to have children.

Hope your family welcomes your baby soon!

Dr. Nguyen Anh Tu – Specialist in Andrology, Andrology and Fertility Hospital of Hanoi.


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