The initial andrological evaluation begins with taking a thorough medical history. The doctor asks questions about childhood, adolescent development and sexual behaviour in the relationship (frequency of intercourse etc.). This is followed by a physical examination of the external genitalia and an ultrasound examination of the testicles, as well as laboratory tests (testosterone, FSH, LH and prolactin levels).
The medical history may already provide information on important possible dysfunctions. Therefore, tell your doctor if you ever had:
The examination will focus on the analysis of the seminal fluid. A semen analysis (also called spermiogram or sperm test) is crucial in establishing a possible infertility of the husband. This test examines the sperm quality under the microscope and thus the chance for a successful fertilisation. The specialist will check sperm count, motility and morphology.