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Sterility, as with any other pathology, needs a previous study to be diagnosed
so as to concrete and solve the problem causing each kind of sterility.
Every possible reason is studied in the male as well as in the female,
and after this study another one is done to compare the acceptable application
of starting out with some that involve less discomfort.
In the male spermatic test are done to watch sterility proceeding from
seminal anomalies: lack of spermatozoa in ejaculate (azoospermia), inadequate
concentration (oligozoospermia), high ratio of spermatic malformation,
etc.
Detached tests are:
•SPERMIOGRAM:
Consists of observation and characterisation macroscopic as well as microscopic
of ejaculate.
• ANDROLOGIC STUDY:
This is a study of masculine originated infertility. The andrologist inserts
data given from laboratory into the medical work for observation and analysis
of the reproductive capacity of the male. So anatomic, biologic, hormonal
and also psychological data are combined to see which might be the possible
reason of anomaly reproductive capacity of the patient.
• SPERMATIC CAPACITATION :
It is a part of the spermiogram, but basically it is an essential process
in any assisted reproductive technique, now that it is based on the liberation
of the spermatozoa from the seminal fluid. The dead spermatozoa and other
cells that can be found in the ejaculate are removed. After having cleaned
the ejaculate several times spermatozoa are completely separated from
the rest of the ejaculate and will remain, until their use, in an adequate
fluid.
In the female, indicated tests are:
• ANAMNESIS, ANALITIC, EXPLORATION AND CYTOLOGY
• HORMONAL STUDY
• ENDOMETRIC BIOPSY
• ECHOGRAPHY: OVULATION CONTROL
• POSTCOITAL TEST, ANTIBODIES ANTISPERM
• HYSTEROSALPINGOGRAPHY (HSG).
• SPECIFIC VAGINAL AND CERVICAL CULTURES
• LAPAROSCOPY
• HYSTEROSCOPY
In the same way, as by the male, the gynecological studies and the ones
from laboratory are also done parallel and complementary to one another,
so that, at the moment of diagnosis and treatment, the gynecologist has
a larger number of data about the patient’s clinic situation.
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