Male Infertility: Evaluation and Treatment

Genetic evaluation of male infertility

Men with severe oligospermia (<5 million sperm/mL ejaculate fluid) or azoospermia should receive genetic testing to clarify etiology of male infertility prior to treatment. Categorization by obstructive azoospermia (OA) or non-obstructive azoospermia (NOA) is critical since genetic testing differs for the former with normal testicular function, testicular volume (~20 mL), and follicle-stimulati...

Medical treatment of male infertility

The majority of male infertility is idiopathic. However, there are multiple known causes of male infertility, and some of these causes can be treated medically with high success rates. In cases of idiopathic or genetic causes of male infertility, medical management is typically empirical; in most instances medical therapy represents off-label use that is not specifically approved by the FDA. Un...

Gonadotropin Treatment in Male Infertility

I-2: Medical Treatment of Male Infertility

Male factor is the sole reason or a component for infertility in 20 and 30% of cases respectively. Medical treatment is preferred for patients with testicular failure due to endocrine or exocrine diseases. Although the infertility may be due to a pathology in the hypothalamic- pituitary axis, the majority of the cases occurs as results of testicular failure. In general medical treatment modalit...

ACUPUNCTURE AND MALE INFERTILITY About male infertility

The clinical definition of male infertility is the presence of abnormal semen parameters in the male partner of a couple who have been unable to conceive after 1 year of unprotected intercourse (Dohle 2010). The World Health Organization defines male factor infertility as the presence of one or more abnormalities in the semen analysis, or the presence of inadequate sexual or ejaculatory functio...