I-2: Current Evaluation and Treatment of The Infertile Men
author
Abstract:
Background Fifty percent of infertility involves a male factor. The evaluation begins with a history, physical exam and semen analysis x 2. The history should include questions about exposure to gonad toxins. The differential diagnosis of no ejaculate includes; retrograde ejaculation, failure of ejaculation (rare), failure of emission and psychogenic. Evaluation of absence of the vas deferens which occurs in 2% of infertile men includes; genetic testing for CFTR mutations of the female partner. If the female is negative testing of the male is optional. Male fertility slowly declines with age and the incidence of miscarriage increases. The physical exam should include; check for gynecomastia, visual fields, varicocele, and evaluation of the genitalia and virtualization. Normal testis size is =/> than 4 Cm x 2 Cm or 20 ml. Endocrine evaluation should be done if there is evidence in the history or physical exam of endocrine disease, decreased libido or a sperm count of
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Journal title
volume 9 issue 2
pages 9- 10
publication date 2015-09-01
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