Male sub-fertile patients in a tertiary hospital

Estimated prevalence of subfertility is 10% of couples; 35 40% male, 40 50% female and remainder involve both sexes. We analyzed semen of 50 sub-fertile male subjects attending infertility unit outpatient department, Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, between July 2007 and December 2008, to establish cause of their problem and initiate treatment regimen to correct their problem. Mean age was 32.68 years, known medical disorders was present in 6(6% history of mumps, 4% history of orchitis, 2% diabetes), 28% were smokers, and none was drug addict. Semen analysis: mean±SD semen volume 1.94±1.08 ml, concentration 19.43±25.18 106/ml, motility 24.04±26.49%, rapid linearity 13.10±15.74%, slow linearity 8.16±8.65%, non-progressive 2.74±6.23%, immotile 33.68±33.06%, morphology 21.62±26.15%, head abnormality 21.06±24.72%, midpiece abnormality 14.04±17.12%, and tail and other abnormalities 10.90±17.28%. Agglutination was seen in 2%. Diagnosis was 42% azoospermia, 4% normozoospermia, 12% oligoasthenozoospermia, 10% asthenozoospermia, 18% oligozoospermia, 10% oligozoospermia with reduced motility, 2% each oligozoospermia with infection and astheno and teratozoospermia.