Clinical Approach to Male Infertility

Abstract

The clinical approach to the infertile man begins with a careful medical history and physical examination, assessing both the andrological and internal medicine aspects. The main objectives of the evaluation are to identify modifiable risk factors and appropriate treatments which may improve male fertility, and to exclude the presence of comorbidities such as testicular cancer, osteoporosis, and endocrine or genetic problems that can be associated with infertility. The laboratory tests described include the evaluation of endocrine tests, of the spermiogram and of genetic studies.

Keywords: Antisperm Aantibody, Asthenozoospermia, Azoospermia, DNA Fragmentation, Fluidification, FSH, LH, Karyotype, Medical History, Microdeletions of the Y Chromosome, Nonprogressive Motility, Oligozoospermia, Progressive motility, Pulsatile Prolactin, SHBG, Spermiogram, Teratozoospermia, Testicular Biopsy, Testicular Fine Needle Aspiration, Viscosity.