[The clinico-morphological aspects of aspermia]

The clinico-morphologic, clinico-endocrinologic, and morpho-endocrinologic parallels were studied in 126 males with aspermia who underwent genitography and biopsy of the testes. On the basis of the findings, the structure of male sterility in aspermia was exactly identified and the differential diagnostic value of certain values was established; a correlation between the blood follitropine content and the degree of spermatogenesis inhibition in testicular aspermia was revealed in particular. Testosterone excreted in the urine and circulating in blood plasma is reduced by more than three times in this case, while the plasma estradiol level increases 1.5 times. Obturation aspermia accounts for 12.7% and testicular aspermia for 87.3% of all cases of aspermia. Further search for clinico-laboratory and laboratory differential diagnostic criteria in aspermia is necessary. The modern methods of treatment are ineffective.