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The Diagnosis and Treatment of Male Infertility

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“The Diagnosis and Treatment of Male Infertility”
Male infertility is a common problem and is encountered in isolation or in conjunction
with female reproductive problems in more than 50% of infertile couples. In spite of this large prevalence, the provision for specialist health care to address a male’s reproductive problems remains inadequate compared to his female partner. This anomaly has led to a situation where semen analysis has become the only arbitrator to offer expensive assisted reproductive procedures. Doctors are quick to advise in vitro fertilization and intracytoplasmic sperm injection procedures whenever the results of semen analysis are suboptimal without offering additional tests to identify potential reversible causes for the suboptimal result.
Consequently, many men proceed to assisted conception without being fully evaluated even when they have severe but correctable forms of male infertility. However, the field of andrology has been evolving over the past 30 years, which has led to a better characterization of reproductive problems in the male. This has been driven by the
belief that men are entitled to know the cause of their reproductive impediment whenever possible. Moreover, the sound clinical diagnosis facilitates medical and surgical therapies specific to these reproductive problems.


1. Making a Diagnosis:
Ahmad Majzoub and Edmund Sabanegh Jr.
2. Interpreting Semen Analysis and Level 2 Sperm Testing:
Nabil Aziz
3. Medical and Lifestyle Approaches to Improving Semen Quality:
Ranjith Ramasamy and Samarpit Rai
4. Testosterone and Anabolic Steroid Abuse:
Mohamed Arafa and Ahmad Majzoub
5. Managing Infertility Due to Endocrine Causes:
Philip Kumanov
6. Management of Infections in Male Infertility:
Odunayo Kalejaiye and Asif Muneer
7. Ejaculatory Dysfunction: Retrograde Ejaculation:
Jim K. Shen, Salim K. Cheriyan and Edmund Y. Ko
8. Management of Azoospermia:
Mohamed Arafa, Haitham El Bardisi and Ahmad Majzoub
9. Klinefelter Syndrome:
Haitham El Bardisi and Ahmad Majzoub
10. CFTR-Related Male Infertility:
Victoria McKay and Alan Fryer
11. Sperm Retrieval Techniques:
Chak-Lam Cho and Ashok Agarwal
12. Varicocele: Surgical Intervention Versus Assisted Conception:
Nicholas N. Tadros and Edmund Sabanegh Jr.
13. Treating Erectile Dysfunctions:
Ahmad Majzoub, Haitham El Bardisi and Mohamed Arafa
14. Spinal Cord Injury Related Infertility:
Michael S. Floyd, Jr., Sanjeev Sharma and Gurpreet Singh
15. Establishing and Managing a Sperm Bank:
Grace M. Centola
16. Assisted Conception Techniques: Which One to Choose:
Pankaj Talwar and Ashish Fauzda

Title: The Diagnosis and Treatment of Male Infertility
Author: Nabil Aziz, Ashok Agarwal
Language: English


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