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Table 42-4.

Table 42-4. Components of the infertility history.
Medical history
Fevers
Systemic illness—diabetes, cancer, infection
Genetic diseases—cystic fibrosis, Klinefelter syndrome
Surgical history
Orchidopexy, cryptorchidism
Herniorraphy
Trauma, torsion
Pelvic, bladder, or retroperitoneal surgery
Transurethral resection for prostatism
Pubertal onset
Fertility history
Previous pregnancies (present and with other partners)
Duration of infertility
Previous infertility treatments
Female evaluation
Sexual history
Erections
Timing and frequency
Lubricants
Family history
Cryptorchidism
Midline defects (Kartagener syndrome)
Hypospadias
Exposure to diethylstilbestrol
Other rare syndromes—prune belly, etc.
Medication history
Nitrofurantoin
Cimetidine
Sulfasalazine
Spironolactone
Alpha blockers
Social history
Ethanol
Smoking/tobacco
Cocaine
Anabolic steroids
Occupational history
Exposure to ionizing radiation
Chronic heat exposure (saunas)
Aniline dyes
Pesticides
Heavy metals (lead)