Book contents
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Chapter 1 The Patient’s Perspective
- Chapter 2 Epidemiology of Infertility
- Chapter 3 Investigation of Male Infertility
- Chapter 4 Female Fertility
- Chapter 5 Unexplained Infertility
- Chapter 6 Overview of Management of Male Infertility
- Chapter 7 Semen Analysis and Sperm Function Tests
- Chapter 8 Assessment of Fallopian Tube Patency
- Chapter 9 Endometriosis
- Chapter 10 Congenital Uterine Abnormalities
- Chapter 11 Fibroids and Fertility
- Chapter 12 Tubal Factor Infertility and Tubal Surgery
- Chapter 13 Fertility and the Hypogonadal Male
- Chapter 14 Causes and Investigation of Ovarian Infertility
- Chapter 15 Ovulation Induction for Anovulatory Infertility
- Chapter 16 The Role of Regulation in Reproductive Medicine
- Chapter 17 Common Stimulation Regimens in Assisted Reproductive Technology
- Chapter 18 Oocyte Retrieval and Embryo Transfer
- Chapter 19 Gamete Preparation and Embryo Culture
- Chapter 20 Single Embryo Transfer
- Chapter 21 The Risks of Assisted Reproduction
- Chapter 22 Gamete and Embryo Cryopreservation
- Chapter 23 Quality Management in Reproductive Medicine
- Chapter 24 Early Pregnancy
- Chapter 25 Evaluation and Management of Recurrent Miscarriage
- Chapter 26 Sperm Retrieval
- Chapter 27 Preimplantation Genetic Testing
- Chapter 28 Adjuvant Treatment and Alternative Therapies to Improve Fertility
- Chapter 29 Male Fertility Preservation
- Chapter 30 Female Fertility Preservation
- Chapter 31 Donor Recruitment
- Chapter 32 Gamete Donation
- Chapter 33 Training Opportunities in Reproductive Medicine
- Index
- References
Chapter 6 - Overview of Management of Male Infertility
Published online by Cambridge University Press: 03 June 2019
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Subfertility, Reproductive Endocrinology and Assisted Reproduction
- Copyright page
- Contents
- Contributors
- Chapter 1 The Patient’s Perspective
- Chapter 2 Epidemiology of Infertility
- Chapter 3 Investigation of Male Infertility
- Chapter 4 Female Fertility
- Chapter 5 Unexplained Infertility
- Chapter 6 Overview of Management of Male Infertility
- Chapter 7 Semen Analysis and Sperm Function Tests
- Chapter 8 Assessment of Fallopian Tube Patency
- Chapter 9 Endometriosis
- Chapter 10 Congenital Uterine Abnormalities
- Chapter 11 Fibroids and Fertility
- Chapter 12 Tubal Factor Infertility and Tubal Surgery
- Chapter 13 Fertility and the Hypogonadal Male
- Chapter 14 Causes and Investigation of Ovarian Infertility
- Chapter 15 Ovulation Induction for Anovulatory Infertility
- Chapter 16 The Role of Regulation in Reproductive Medicine
- Chapter 17 Common Stimulation Regimens in Assisted Reproductive Technology
- Chapter 18 Oocyte Retrieval and Embryo Transfer
- Chapter 19 Gamete Preparation and Embryo Culture
- Chapter 20 Single Embryo Transfer
- Chapter 21 The Risks of Assisted Reproduction
- Chapter 22 Gamete and Embryo Cryopreservation
- Chapter 23 Quality Management in Reproductive Medicine
- Chapter 24 Early Pregnancy
- Chapter 25 Evaluation and Management of Recurrent Miscarriage
- Chapter 26 Sperm Retrieval
- Chapter 27 Preimplantation Genetic Testing
- Chapter 28 Adjuvant Treatment and Alternative Therapies to Improve Fertility
- Chapter 29 Male Fertility Preservation
- Chapter 30 Female Fertility Preservation
- Chapter 31 Donor Recruitment
- Chapter 32 Gamete Donation
- Chapter 33 Training Opportunities in Reproductive Medicine
- Index
- References
Summary
Male infertility is becoming a worldwide epidemic. Data suggest that there has been a constant decline in semen parameters throughout the decades of the 20th century with the mean sperm count ranging around 60 million sperm per ml in the late 1930s and dropping down to around 40 million sperm per ml in the late 1970s [1]. More recent data from the Human Fertilisation and Embryology Authority suggests that male factor infertility is the sole cause of couple infertility in around 30% of cases and in a further 10% of cases there is a combination of male and female factors. This means that in just under one half of couples seen in a typical infertility clinic setting there will be a male factor and hence the importance of thorough investigation and management of the male partner. The exact cause for this decline in male infertility is largely unknown but may be due to various environmental factors or lifestyle changes such as smoking and obesity [2].
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- Publisher: Cambridge University PressPrint publication year: 2019