from Section 2 - Clinical Evaluation of the Infertile Male
Published online by Cambridge University Press: 08 July 2023
Infertility occurs in 10–15 percent of couples of reproductive age [1]. Male factor contributes to approximately 50 percent of couples with infertility, with the male being the sole contributor in 20 percent of the time and a combination between male and female in 30–40 percent of the time [1, 2]. Infertility in the male can result from several factors, which may be congenital or acquired. Historically, infertility workup and treatment have overemphasized the female factor. Fortunately, there is increased awareness of the factors that can affect fertility in the male. Evaluation of the infertile male should achieve certain goals. These include: (1) identifying reversible causes that can improve fertility status; (2) identifying irreversible causes which may lead to treatment by assisted reproductive technology (ART); (3) identifying irreversible causes not amenable to ART; (4) identifying medically significant pathologies underlying infertility; and (5) identifying genetic causes that may have implications for the patient and their offspring.
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