[Clinical elements for the diagnosis of secretory azoospermia]

Secretory azoospermia is defined by the existence of azoospermia, normal epididymis and vesicular markers and often high but sometimes low FSH levels. Study of the past history often reveals the cause of azoospermia, which is often toxic or a side effect of medication. Clinical investigation includes assessment of the genital organs in particular the volume of the testicles. The clinical investigation must always be accompanied by a general examination. When anamnesis and clinical examination are completed, secretory azoospermia will be classed in one of the following categories: high FSH azoospermia, law FSH azoospermia, normal FSH azoospermia.