Male Infertility
Introduction
Infertility is defined as the inability to conceive after 1 year of unprotected sexual intercourse. Infertility affects approximately 15% of couples. Roughly 40% of cases involve a male contribution or factor, 40% involve a female factor, and the remainder involve both sexes.
The evaluation of male infertility is undertaken methodically to acquire several kinds of information. Before discussing the diagnosis and treatment of male infertility, a review of basic reproductive tract physiology is in order.
- Paul J. Turek, MD
Male Infertility
- Introduction
- Male reproductive physiology
- History
- Physical Examination
- Laboratory
- Semen Leukocyte Analysis
- Antisperm Antibody Test
- Hypoosmotic Swelling Test
- Sperm Penetration Assay
- Sperm-Cervical Mucus Interaction
- Chromosomal Studies
- Cystic Fibrosis Mutation Testing
- Y Chromosome Microdeletion Analysis
- Radiologic Testing
- Testis Biopsy & Vasography
- Fine-Needle Aspiration “Mapping” of Testes
- Semen Culture
- Pretesticular
- Chromosomal Causes
- Other Syndromes
- Gonadotoxins
- Systemic Disease
- Defective Androgen Activity
- Testis Injury
- Cryptorchidism
- Varicocele
- Idiopathic
- Pretesticular
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Provided by ArmMed Media
Revision date: June 21, 2011
Last revised: by David A. Scott, M.D.
Revision date: June 21, 2011
Last revised: by David A. Scott, M.D.