Men's sperm is very important to men. Men should take good care of it. In daily life, they should have a lot of physical examinations, especially their semen. This requires judgment. Of course, there are many methods, so how to judge whether semen is healthy? What is the routine examination of semen?

1. How to judge whether semen is healthy or not?

1, semen volume

Normal ≥2ml. Too much when it exceeds 7ml, not only reduces the sperm density, but also easily flows out from female private parts, resulting in a decrease in the total number of sperm, which is common in seminal vesiculitis; Less than 2ml means too little semen, but usually less than 1ml means too little semen. At this time, the contact area between semen and female reproductive tract is small, or because of its viscosity, it is not conducive to sperm entering the woman's cervix, leading to infertility, which is common in severe accessory gland inflammation, low testosterone level, ejaculatory duct obstruction, retrograde ejaculation and so on.

Step 2 color

Normal is grayish white or yellowish. Milky white or yellow-green suggests inflammation of reproductive tract or accessory gonad; Microscopically, pink, red and red blood cells are bloody semen, which is common in inflammation of accessory gonads and posterior urethra, and occasionally seen in tuberculosis or tumors.

3.ph value

The normal pH value of semen is 72 ~ 78. Less than 72 is seen in ejaculatory duct obstruction or urine pollution; More than 78 cases are found in seminal vesicle inflammation or old specimens.

4. Liquefaction time

After normal semen injection, it becomes gelatinous under the action of seminal vesicle coagulase, and becomes liquid after 15 ~ 30 minutes under the action of prostatic liquefaction enzyme, which is semen liquefaction. It is abnormal that semen is not liquefied after 30 minutes of ejaculation.

6, sperm count

Generally expressed by the number of sperm per milliliter of semen. The normal count is ≥20× 10_6/ml, and below this value, there are too few sperm, which can be seen in the dysfunction of spermatogenesis caused by various reasons, and may lead to low fertility or infertility due to the reduced chance of sperm entering the uterine cavity and fallopian tube. If the number of sperm exceeds 250× 10_6/ml, it means that there are too many sperm, which may affect their motility or lead to infertility.

Step 5 be sticky

Contact the glass rod with liquefied semen and gently lift it to form semen filaments, the length of which is generally less than 2 cm.

7. Sperm morphology

Normal sperm ≥50%, otherwise it can lead to infertility.

8. Activities

Sperm moving in a straight line is ≥50%.

9. Survival rate

Often refers to after ejaculation 1 hour, with live sperm ≥50%. The common reasons leading to the decline of sperm motility and survival rate are hypogonadism, varicocele, ciliary stagnation syndrome caused by chronic respiratory infection, the existence of anti-sperm antibodies in semen or improper preservation of specimens.

10, white blood cells

White blood cells in normal semen < 1× 106/ml. Leukocytosis indicates that there is infection in reproductive tract or accessory gonad.

Self-judgment of erectile dysfunction

1. Several sexual failures at the beginning of marriage are regarded as erectile dysfunction. This situation is quite common, in fact, it violates the rule that couples must have two after having sex. The principle of 3 months running-in period. At the beginning of the wedding, especially on the wedding night, I was so excited, tired and even drunk; Or because of the lack of cooperation between husband and wife in the wedding stage, erectile function is not good for a while. Originally, this is not surprising. There are also some newlyweds who have had bad sexual intercourse because they have tasted forbidden fruit before marriage. At that time, they acted in a complex mood such as groping, trying, nervousness and fear, and the failure rate was very high, so they left a shadow of sexual incompetence in their minds. This situation should have an adjustment stage in marital sexual intercourse.

2. Failure to cause the woman's orgasm and pleasure is considered as erectile dysfunction. This is a bigger mistake. As long as the man Tintin can erect and place a person, as long as the man can ejaculate successfully through sexual intercourse and reach orgasm, it is not erectile dysfunction, even if it is accompanied by sexual pleasure. One of the characteristics of male and female sexual function is that "men are quick and women are slow", so if the man has ejaculated, the woman has not yet reached orgasm. This is a physiological phenomenon, at most, it is a problem that sexual life is not harmonious enough, and it should never be considered as erectile dysfunction.

People think that masturbation will inevitably cause erectile dysfunction. More common in unmarried young people, it is a common sexual misunderstanding. Needless to say, masturbation is a common behavior of teenagers. There are indeed some people who worry that masturbation will induce erectile dysfunction, and then some people really have impotence. However, modern medicine has made it clear that the occurrence of this impotence is not due to the damage to sexual organs caused by masturbation in essence, but to the psychological factors caused by long-term masturbation. In fact, the psychological activities of masturbators are very complicated, and they are often in anxiety, guilt, depression and anxiety. This unhealthy thinking activity will hinder the normal play of sexual function. But even those who masturbate for a long time may not have erectile dysfunction as long as they can alleviate the above-mentioned mental "acne".

4. Tintin's erectile response is not obvious at ordinary times, which is Yang paralysis. Many teenagers complain that they have seen some pictures of movies and periodicals with pornographic content before; Dream of a girl you like; Or indulge in some kind of sexual fantasy, Tintin will naturally get an erection, but now this reaction is not obvious. Did he give Yang a seizure? No! The answer is simple, because there is no complete sexual stimulation from the spouse, including visual stimulation, auditory stimulation, tactile stimulation, olfactory stimulation and so on, and because there is no real sexual intercourse practice, it is impossible to diagnose Yang Pi only by whether Tintin is erect or not. In fact, male Tintin erection can be divided into two physiological situations: one is reactive erection, which is spontaneous erection through nerve reflex without any sexual stimulation, such as erection after sleeping at night; The other is psychogenic erection, which needs some kind of sexual stimulation to induce, including sexual fantasies that come from the mind but are not expressed. Therefore, all erotic stimuli can induce mental erection. This psychogenic erection, which usually happens, is very complicated and will change with a person's physique, thoughts and emotions. Sometimes it's better, sometimes it's worse, which is not an index to judge erectile dysfunction at all.

The erectile dysfunction after this roommate's change is called yang paralysis. Strictly speaking, this view is also incorrect. Some people have normal sexual life with their wives and have good erectile function; But in extramarital affairs, the same room collapsed. On the contrary, some people have sex with their wives, perhaps because they are not fresh and they have poor erections, but they have excellent sex lives alone. These are all things that happen after the change of roommates. At first glance, erectile dysfunction with a certain object is indeed erectile dysfunction. There are also so-called "yang spasm outside marriage" and "yang spasm inside marriage" in medicine. But in the true sense, a person with this "selective" erectile dysfunction is not a real erectile dysfunction patient. From one side, he has erectile dysfunction, and from the other side, his sexual function is good. Therefore, we can't just label such people as erectile dysfunction. Of course, it is very important to correct work style, adjust mentality and ensure normal marital sexual intercourse.

6. Frequent nocturnal emission will inevitably lead to erectile dysfunction. This is another fallacy that teenagers often have. They believe that frequent nocturnal emission will greatly damage "vitality", and sexual function will not be lost? In fact, this kind of worry is completely unnecessary. It is normal for healthy unmarried men to have nocturnal emission 1-2 times a month, and more than 4-5 times is too much, which may be related to inflammation of reproductive and urinary organs or some life factors, such as wearing tight pants, sleeping too hot at night and overworking during the day. However, modern medicine has made it clear that nocturnal emission is not necessarily related to erectile dysfunction.

7. Premature ejaculation will inevitably develop into erectile dysfunction. Those who hold this view can give some concrete examples. These patients began to have premature ejaculation, ejaculated shortly after they had no contact with the woman, and even had erectile failure later. From a medical point of view, such a situation is often caused by psychological factors. Because of premature ejaculation, I feel dissatisfied and feel very guilty for failing my wife. Some wives express dissatisfaction, ridicule and complaints, which invisibly puts great pressure on their husbands. Sexual function will really be washed away under this complicated psychological state and mental stress. If effective treatment is given in the premature ejaculation stage, those who are strong-willed, indifferent or whose wives don't mind at all will not have erectile dysfunction. Now modern medicine has not found any inevitable connection between premature ejaculation and erectile dysfunction.

As the name implies, morning urine is the first urine when people get up in the morning. Morning urine is often used as urine routine in clinical examination, and it is considered that morning urine contains basic physiological indexes and pathological changes of human body. It's important to pee first in the morning. From the color, smell and state of urine, we can see the man's physical condition, whether he has drunk enough water, whether he has any diseases and so on. So how should men judge their health status from morning urine in their daily life?

How do men judge their health from morning urine?

1, yellow and reddish urine: urinary tract infection.

Red urine is probably a symptom of urinary tract infection, such as urethritis and urinary calculi. General hematuria is accompanied by frequent urination, urgency and pain. It is recommended to go to the hospital for urology examination so as not to miss the best opportunity for treatment.

Normal situation: Eating carrots and other fruits and vegetables containing natural pigments will also make your urine turn red. However, this phenomenon is only temporary. If you drink more cups of boiling water, it will slowly return.

2, urine yellow likes strong tea: pay more attention to liver problems

If the urine is yellow like strong tea for a long time, it often indicates that there is something wrong with the liver. If the urine turns yellow for a long time, be sure to pay attention to whether there are other symptoms, such as jaundice, fatigue, epigastric discomfort, pain, etc., and go to the hospital for relevant examination in time.

Normal situation: If you urinate yellow only once or twice, the time is short and there is no other discomfort, don't worry. The change of urine color is related to human sweating, water consumption and diet. If you sweat more and drink less, the color of urine will deepen. When I first got up, my urine was black and smelly.

3. Floating bubbles in urine: the crisis of male "anterior gland"

If a fine layer of foam is found floating on the surface of urine for a long time, it may be an early symptom of nephritis or remind men of prostatitis. This "small bubble" is caused by more protein in urine. The earliest change of nephritis is the appearance of protein in urine. If not actively treated, it is easy to have problems such as renal insufficiency. In addition, if a man suffers from prostatitis, the urine may carry prostatic fluid, so there will be oil beads on the surface of the urine, which is in a state of "bubble urine" and there are many "small bubbles".

Normal situation: If the bubbles are large or of different sizes and last for a short time, they are normal bubbles, so there is no need to be nervous.

2. Routine semen examination

1, liquid volume check

Normal reference value: 2-5ml.

If you don't ejaculate for several days, the amount of semen is less than 1.5m 1, which means it is abnormal, indicating that the seminal vesicle or prostate is diseased; If the amount of semen is reduced to a few drops, or even can't be discharged, it is called azoospermia, which can be seen in specific lovely infections of reproductive system, such as tuberculosis, gonorrhea and nonspecific inflammation. If the amount of semen is too much (more than 8m 1 at a time), the sperm will be diluted and reduced accordingly, which will hinder fertility.

2. Coloring inspection

Normal reference value: gray or milky white, light yellow for those who do not ejaculate for a long time.

Yellow or brown purulent semen: seen in seminal vesiculitis or prostatitis; Bright red or dark red bloody semen: seen in inflammation, tuberculosis and tumor of reproductive system.

3, viscosity and liquefaction test

Normal reference value: viscous and gelatinous, self-liquefied within 30 minutes.

The low viscosity of semen, like rice soup, can be caused by the decrease of sperm quantity and can be seen in reproductive system inflammation. Too long liquefaction time or no liquefaction can inhibit sperm activity and affect fertility, which is common in prostatitis.

4. Detection of sperm motility rate

Normal reference value: Normal sperm motility is generally above _ level (good motility, moderate movement but more fluctuation), and the proficiency of motility above _ level within after ejaculation 1 hour should be greater than 0.60.

If the sperm of grade 0 (dead sperm, immobile, still immobile after heating) and grade _ (immobile, sperm spinning in place, swinging or shaking, slow movement) are above 0.40, it is often one of the important reasons for male infertility.