남 성 불 임 증

2) Laboratory evaluation (1) Semen analysis - x 3 with consistent period of abstinence (2-5 d.) - by masturbation into a wide-necked clear glass - should be analyzed within 1 hr. and kept at body temperature 1> sperm concentration 2> sperm motility 3> sperm morphology 4> fructose ie) fructose(-) , low volume, & coagulation (-) ① agenesis of vas and seminal vesicle ② ejaculatory duct obstruction (2) Hormone evaluation - endocrinologic cause: 3% - testosterone, LH, FSH, prolactin - elevated FSH : germinal epithelial damage. (usually irreversible germ cell damage) (3) Chromosomal study (4) Immunologic study - immunologic cause: 3 -7 % - SA: normal or spontaneous agglutination, decreased motility - method; ① sperm agglutination test ② sperm immobilization test ③ immunobead-binding(IBB) technique (5) Testicular biopsy and vasography - for Dx. of obstructive azoospermia (6) Sperm function test 1> sperm-cervical mucus interaction (postcoital test) 2> sperm penetra…
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