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[Investigation of the infertile couple]
1Service de médecine et de biologie de la reproduction, hôpital Saint-Joseph, Marseille. b.rossin@wanadoo.fr
Abstract:
The investigation of an infertile couple is multidimensional; it takes into account varied notions: cultural, sociological, psychological, sexological, physiological and pathological. How, the clinician, in an eclectic concern, can help and treat these couples in suffering? By a diagnosis and a coverage which will be permanently to revalue, by an attentive listening and an information enlightened by the two partners exams according to risks and costs. The stages of the balance of infertility of the couple can decline on very different modes according to information collected, according to the diagnostic progress and the brought therapeutic solutions. The questions of the infertility concentrate on five poles: sexuality (its troubles and the incapacities), ovulation (its quality, the feminine genital ways), spermatic (the parameters of the sperm), conception (obstacle on the meeting of gametes), and genetic.
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