Male Infertility
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Introduction
Infertility affects 10-15% of couples. Normally, 75% of couples become pregnant within 6 months, 85% within one year, and 90% within two years.
Infertility investigations must include both male and female.
The Case of...
Differential Diagnosis
Varocele
Idiopathic
Obstruction
Cryptorchidism
Immunologic
Oligozoopermia, azoospermia
Chromosomal abnormalities
- Y microdeletions
- Klinefelter's
History and Physical Exam
- history
- physical exam
History
Physical Exam
Investigations
- lab investigations
- diagnostic imaging
Lab Investigations
Semen analysis and culture
- 20 x106 concentration
- 50% motile
- 25% rapid motility
- 30% normal
- >10% if 'strict' criteria
If abnormal, repeat in 3 months
post-coital test???
Diagnostic Imaging
Management
In vitro fertilization and intracetoplasmic sperm injection (ICSI)
Pathophysiology
Resources and References
Topic Development
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