[Possibilities in the diagnosis of male fertility disorders]

The identification of men's fertility troubles is based upon a modern spermatogram. This procedure comprehends a laboratory action which contents the strict following of the examination requirements, and the preparing of a so-called simple (or, if necessary, an "extended") spermatogram. Then comes the genital, somatic examination, which discovers the possibly existing shortages of this field. In special cases it is also desired to clear up additionally the endocrine, hormonal state of the patient. So the results of the analyses will not only give information about the grade of fertility, but they also give a prognosis, and show the possible ways of therapy, in the same time. If reasonable, the testisbiopsy should be made. This could give some valuable datas to discover the shortages in the parenehyma, and to obtain a right prognosis. In case if both parties in the marriage can be considered as fertile, but yet, no sign of the pregnancy appears, the matter will belong to the immunologist, even regarding the sperma-autoimminulogy. Nowadays the genetist is to be initiated, too, if early, of habitual abortions happen, which can not be explained within the field of gynecology, or if any anomalies of evaluation appear at the offspring. Since these examinations neither cause uncomfortabilities, nor risici to the men, it is reasonable to the men to prepare the andrological clear-ups first. Their results mostly can provide the gynecologists searching the origin of sterility with important depending points.