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Previous Volume 332:312-317 February 2, 1995 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Fifteen percent of couples are subfertile — that is, they have less-than-normal fertility. In approximately 30 percent of the cases, an important abnormality is identified in only the man, and in another 20 percent abnormalities are detected in both partners. Thus, there is a male factor in infertility in half of the couples. The evaluation should begin with a complete history taking, physical examination, and appropriate laboratory tests. Unfortunately, even after a thorough evaluation, the cause of a man's lack of normal fertility usually remains unknown. Since it is very difficult to develop a rational treatment plan to correct a . . . [Full Text of this Article]

Lifestyle Factors

Failure of Emission

Retrograde Ejaculation

Abnormalities of Semen

Infection

Varicocele

Microsurgical Correction

Vasovasostomy

Microsurgical Vasoepididymostomy

Immunologic Infertility

Hypogonadotropic Hypogonadism

Idiopathic Oligospermia and Asthenospermia

Medical Therapy

            Testosterone-Rebound Therapy

            Gonadotropin-Releasing Hormone

            Human Chorionic Gonadotropin

            Clomiphene Citrate and Tamoxifen

            Testolactone

            Mesterolone

Semen Processing and Intrauterine Insemination

Assisted-Reproduction Techniques

Source Information

From the Department of Urology, University of Virginia Hospital, Health Sciences Center Box 422, Charlottesville, VA 22908, where reprint requests should be addressed to Dr. Howards.

References

Related Letters:

Male Infertility
Wiesenfeld H. C., Amelar R. D., Dubin L., Schoenfeld C., Tur-Kaspa I., Maor Y., Dor J., Howards S. S.
Extract | Full Text  
N Engl J Med 1995; 332:1790-1791, Jun 29, 1995. Correspondence

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