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A comprehensive systemic examination is essential during an infertility evaluation. Even a patient's general physical appearance can offer significant clues about underlying conditions. For instance, observations such as the absence of a receding hairline, lack of typical male frontal hairline indentations, or sparse to absent facial hair can indicate hormonal etiologies.
In addition to these initial findings, the examination should thoroughly assess:
* The presence of gynecomastia (breast enlargement).
* The development and distribution of body hair, including on the chest, armpits, genitals, and legs.
* The morphology of the penis and testicles.
* The presence of testicles within the scrotum.
* The existence of varicocele.
* The presence or absence of the vas deferens (sperm ducts).
* The presence of obesity, given its potential impact on fertility.
What should be paid attention to during an infertility examination?
In addition to these initial findings, the examination should thoroughly assess:
* The presence of gynecomastia (breast enlargement).
* The development and distribution of body hair, including on the chest, armpits, genitals, and legs.
* The morphology of the penis and testicles.
* The presence of testicles within the scrotum.
* The existence of varicocele.
* The presence or absence of the vas deferens (sperm ducts).
* The presence of obesity, given its potential impact on fertility.