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GUIDELINES FOR THE INVESTIGATION AND TREATMENT OF MALE INFERTILITY

(Text update April 2010)

  • A.

    Jungwirth, T. Diemer, A. Giwercman, Z. Kopa, C. Krausz,

  • H.

    Tournaye, G.R. Dohle Eur Urol 2002 Oct;42(4):313-22 Eur Urol 2004 Nov;46(5):555-8

Definition ‘Infertility is the inability of a sexually active, non-contracept- ing couple to achieve pregnancy in one year’ (WHO, 2000). About 15% of couples do not achieve pregnancy within 1 year and seek medical treatment for infertility. Less than 5% remain unwillingly childless.

Prognostic factors The main factors influencing the prognosis in infertility are:

  • duration of infertility;

  • primary or secondary infertility;

  • results of semen analysis;

  • age and fertility status of the female partner.

As a urogenital expert, the urologist should examine any male with fertility problems for urogenital abnormalities, so that appropriate medical advise and treatment can be given.

Male Infertility 157

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