Male Subfertility

Reversible male subfertility due to hyperthyroidism.

A 26-year-old man with a one-year history of attempted conception was referred to a male subfertility clinic. Two previous semen analyses had disclosed oligospermia with sperm counts of 11 x 109/1 on both occasions (figure). He had had classical symptoms of thyrotoxicosis for five years and 18 months earlier had been investigated for palpitations. Examination showed a diffuse goitre, tremor, an...

Economic strategies in modern male subfertility treatment.

Male obesity and subfertility, is it really about increased adiposity?

The prevalence of overweight and obesity in reproductive-aged men is increasing worldwide, with >70% of men >18 years classified as overweight or obese in some western nations. Male obesity is associated with male subfertility, impairing sex hormones, reducing sperm counts, increasing oxidative sperm DNA damage and changing the epigenetic status of sperm. These changes to sperm function as a re...

Male subfertility: communication, care, coping. An explorative study

AIM OF THE STUDY With this study, we wanted to examine the needs of men with fertility problems in terms of communication, care and coping with the diagnosis. METHODOLOGY data gathered prospectively by means of a written questionnaire (quantitative data), and semi-structured interviews (qualitative data). SAMPLE 78 subfertile men who consulted for subfertility at the department for reproduc...

Subinguinal microsurgical varicocelectomy for male factor subfertility: ten-year experience.

OBJECTIVE To investigate the impact of subinguinal microsurgical varicocelectomy on semen parameters and pregnancy outcomes in couples with male factor subfertility. DESIGN Case series. SETTING Male Infertility Clinic in an academic institution in Hong Kong. PATIENTS The clinical records of 42 consecutive subfertile male patients who had subinguinal microsurgical varicocelectomy (from Jan...