How to Find The Cause of Male Infertility Factor?

سال انتشار: 1401
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 111

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شناسه ملی سند علمی:

RROYAN23_043

تاریخ نمایه سازی: 17 دی 1401

چکیده مقاله:

Male infertility accounts for approximately ۴۰% of infertilityfactors. We aim to explain how to find the cause of male factorin infertile men, referred to an infertility treatment center.Firs t, a comprehensive and thorough medical his tory includingfamilial diseases, genetic disorders, and incurable diseases isnecessary. Surveys related to the infertility his tory in the familyshould be considered. Age is an important factor in the firs t visitand during the treatment.In addition to infertility, other complaints, such as chronic headaches,cough or sinusitis, high blood pressure and so on, shouldbe considered. Information related to the patient’s occupation isof great importance.The interview should contain these ques tions: Is a couple’s infertilityprimary or secondary? Are Patient’s weight and heightproportionate? Do couples consume any specific drug, substance, or alcohol? Do signs of puberty, correct sexual orientationand phenotype appear?In the next s tage, the accurate physical exam of different organs,including cardio-pulmonary sys tem, genitalia and so on,should be done. Consequently, according to the medical his toryand clinical findings, paraclinical and imaging evaluations areconsidered.Let’s consider some examples:• In a man who does not meet tanner criteria of puberty, hormonalprofile mus t be checked, since hormonal disorder is suspected.• In a patient suffering chronic migraine, and semen analysis isabnormal, and the level of prolactin hormone of blood is higherthan normal level, pituitary disorder is suspected.• An infertile patient who has chronic cough and nasal and pharyngealdischarge should be assessed for Kartagener syndrome.• A non- palpable vas deferens and azoospermia increases theodds of unilateral kidney agenesis by ۱۵%, hence, pelvic andabdominal ultrasound examination is helpful for correct diagnosis.• For a patient admitted with secondary infertility who has abnormal semen analysis and his finding of physical examinationis in favor of varicocele, scrotum should be evaluated usingdoppler sonography.In conclusion, using correct medical his tory, and physical examination,and accurate diagnos tic methods, the exact cause ofmale factor is detectable.

نویسندگان

A Vosough Taghi Dizaj

Department of Reproductive Imaging, Reproductive BiomedicineResearch Center, Royan Ins titute for Reproductive Biomedicine,ACECR, Tehran, Iran

F Pahlavan

Department of Reproductive Imaging, Reproductive BiomedicineResearch Center, Royan Ins titute for Reproductive Biomedicine,ACECR, Tehran, Iran