Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Male Factor Infertility

Signs & Symptoms

 Undescended testis
Note: cause oligozoospermia, cause hypospadias, cause testicular cancer
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Hormone therapy
Note: cause inhibit spermatogenesis
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Chemotherapy
Note: cause loss of spermatogenesis
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Radiation therapy
Note: cause loss of spermatogenesis
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]

Physical Examination

 Enlarged proximal epididymis
Ref: Epocrates [ https://online.epocrates.com/diseases/49731/Male-factor-infertility/Diagnostic-Approach]
Abnormal hair distribution
Note: due to hypogonadism, due to chromosomal abnormalities XXY
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Testis atrophy
Note: <20cm3, testicular longitudinal axis [TLA] <4.6 cm, cause nonobstructive azoospermia
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]

Lab / Serology

 Abnormal semen parameters
Ref: Uptodate [ Causes of male infertility] Epocrates [ https://online.epocrates.com/diseases/49711/Male-factor-infertility/Highlights-Basics]
Oligozoospermia
Note: <16 million sperm/mL), due to disruption of spermatogenesis, due to Primary hypogonadism
Ref: Uptodate [ Causes of male infertility] Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Y chromosome abnormalities
Note: Chromosomal abnormalities are more common in men with severe oligozoospermia (5%) or azoospermia (10% to 15%).
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]

Imagin Study

Complication

Risk Factors

 Age > 55
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Alcohol
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Obesity
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]

Cause

 Idiopathic dysspermatogenesis
Ref: Uptodate [ Causes of male infertility]
Y chromosome abnormalities
Note: Chromosomal abnormalities are more common in men with severe oligozoospermia (5%) or azoospermia (10% to 15%).
Ref: Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]
Cryptorchidism
Note: cause oligozoospermia, cause hypospadias, cause testicular cancer
Ref: Uptodate [ Causes of male infertility] Epocrates [ https://online.epocrates.com/diseases/49732/Male-factor-infertility/Risk-Factors]

Other