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Related Experiment Videos

Evaluation of the subfertile man.

Peter N Kolettis1

  • 1Department of Surgery, Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama 35294-3296, USA.

American Family Physician
|June 5, 2003
PubMed
Summary

Evaluating male infertility is crucial as many causes are correctable. A thorough assessment identifies treatable conditions, explains the cause, and detects health risks for the man and his offspring.

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Area of Science:

  • Reproductive Medicine
  • Urology
  • Andrology

Background:

  • Infertility impacts 15% of couples, with 50% of male infertility cases being potentially correctable.
  • A comprehensive male fertility evaluation is essential for diagnosing and managing subfertility.
  • Semen analysis alone is insufficient for a complete male fertility assessment.

Purpose of the Study:

  • To outline the necessity and components of a thorough male infertility evaluation.
  • To emphasize the identification and treatment of correctable causes of male subfertility.
  • To highlight the broader health implications discovered during male fertility assessments.

Main Methods:

  • Detailed medical history collection.
  • Comprehensive physical examination.
  • Extensive laboratory studies, including but not limited to semen analysis.

Main Results:

  • Male fertility evaluations can identify correctable causes of subfertility.
  • These evaluations can uncover significant medical and genetic pathologies.
  • Treatment of correctable male-factor pathology is cost-effective and avoids risks associated with assisted reproductive technologies.

Conclusions:

  • Appropriate evaluation and treatment of subfertile men are critical for infertile couples.
  • Addressing male-factor infertility improves outcomes and can spare women invasive procedures.
  • A complete male fertility workup provides a comprehensive understanding of the couple's infertility.

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