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Male Infertility

Dr. Khaleel Al-Awadi, MD.

– Chemotherapy & Radiotherapy. . – Varicocele.Causes 1. – Sertoli cell-only syndrome. Testicular Impairments – Bilateral anorchia. – Cryptorchidism.

– Idiopathic. Smoking.Causes (cont. – Orchitis (e. – Systemic illness (e. – Immunologic.) – Drugs (Alcohol.g. Liver cirrhosis).g. . Caffeine). Post pubertal mumps).

Causes (cont. – Glucocorticoid excess.LH. – Thyroid gland abnormalities. Hormonal – Pituitary gland disease (FSH.) 2. .Prolactine).

Ductal Obstruction 5.) 3. Genetic Abnormalities – Klinefilter’s Syndrome. – Down’s Syndrome.Causes (cont. 4. Ejaculatory Problems – Retrograde ejaculation .

Genital Examination. 2. – Testis.Clinical Examination 1. 3. – Spermatic cord. General Examination. . DRE.

Routine lab work. Motility. Endocrine evaluation. 2. • Concentration. 3. Laboratory Evaluation 1. • Testosterone .FSH and Prolactin. .LH . Semen Analysis. Morphology and Pus.Investigations A.

) B. TRUS. 2.Investigations (cont. Testicular Biopsy. . C. Scrotal U/S. Doppler study. 3. Radiologic Procedures 1. D. Fine needle aspiration cytology (FNAC).

2. Assisted Reproductive Techniques: 1. In-Vitro Fertilization (IVF). B. Treat the cause. Intracytoplasmic Insemination (ICSI). 3.Treatment A. . Intrauterine Insemination.