Male Infertility: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
      • Physique
    • Inspection and palpation (palpation) of the mammae (mammary glands) [gynecomastia?/enlargement of the mammary gland in men].
    • Inspection and palpation of the abdomen (abdomen), inguinal region (groin region), etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)
    • Inspection and palpation of the genitals (penis and scrotum); assessment of:
      • Pubescence (pubic hair).
      • Penis (penis length: between 7-10 cm when flaccid; presence of: Indurations (tissue hardening), anomalies, phimosis / foreskin constriction?)
      • Testicular position and size (if necessary by orchimeter).
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of the prostate in size, shape and consistency, if necessary, detection of indurations (tissue hardening)).
  • Health check – to determine individual health risks.
  • Nutritional analysis – to determine the nutritional situation including the determination of the individual micronutrient additional requirements (vital substances).

In square brackets [ ] refers to possible pathological (pathological) physical findings.