45 INFERTILITY, MALE General Discussion Infertility, defined as the inability to conceive after 1 year of unprotected intercourse, affects 15% of couples. Half of these couples have a component of male factor infertility, and 20–30% is caused solely by a male factor. The most common male factor is a varicocele. Evaluation of male fertility should be a routine part of the evaluation of an infertile couple, because 50% of male infertility is potentially correctable. Endocrine disorders remain an important etiology of male infertility and may be associated with significant medical pathology, which may have important implications both for the male and for his potential offspring. Medications Associated with Male Infertility Chemotherapy Cimetidine Narcotics Nitrofurantoin Sulfasalazine Causes of Male Infertility Abnormal spermatogenesis Alcohol abuse Anabolic steroid use Androgen resistance Anorchia Caffeine excess Congenital adrenal hyperplasia Cryptorchidism Cushing’s syndrome Cystic fibrosis Diabetes mellitus Erectile dysfunction Gonadotoxin exposure (organic solvents, pesticides, excessive heat, heavy metals) Hypogonadotropic hypogonadism Marijuana use Medications/chemotherapy Multiple sclerosis Obstruction Pelvic injury/surgery Primary hypogonadism Prolactinoma Radiation exposure Sexually transmitted disease Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: ARTHRITIS AND ARTHRALGIA HAIR LOSS HYPOTHYROIDISM SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on INFERTILITY, MALE Full access? Get Clinical Tree
45 INFERTILITY, MALE General Discussion Infertility, defined as the inability to conceive after 1 year of unprotected intercourse, affects 15% of couples. Half of these couples have a component of male factor infertility, and 20–30% is caused solely by a male factor. The most common male factor is a varicocele. Evaluation of male fertility should be a routine part of the evaluation of an infertile couple, because 50% of male infertility is potentially correctable. Endocrine disorders remain an important etiology of male infertility and may be associated with significant medical pathology, which may have important implications both for the male and for his potential offspring. Medications Associated with Male Infertility Chemotherapy Cimetidine Narcotics Nitrofurantoin Sulfasalazine Causes of Male Infertility Abnormal spermatogenesis Alcohol abuse Anabolic steroid use Androgen resistance Anorchia Caffeine excess Congenital adrenal hyperplasia Cryptorchidism Cushing’s syndrome Cystic fibrosis Diabetes mellitus Erectile dysfunction Gonadotoxin exposure (organic solvents, pesticides, excessive heat, heavy metals) Hypogonadotropic hypogonadism Marijuana use Medications/chemotherapy Multiple sclerosis Obstruction Pelvic injury/surgery Primary hypogonadism Prolactinoma Radiation exposure Sexually transmitted disease Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: ARTHRITIS AND ARTHRALGIA HAIR LOSS HYPOTHYROIDISM SYNCOPE Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Medicine Aug 17, 2016 | Posted by admin in PEDIATRICS | Comments Off on INFERTILITY, MALE Full access? Get Clinical Tree
