Overview of Current Approaches To the Evaluation and Management Of Male Infertility
Infertility is clinically defined as the inability of a couple to achieve conception after one year of regular, unprotected intercourse. It is currently believed that male factors contribute to 40% to 60% of infertility cases (Schlegel, 2009). This article seeks to provide an overview of the evaluation and management of male factor infertility. There are many different possible etiologies of impaired fertility in men, and because treatment efforts must be closely tailored to individual presentations, it is important to conduct a thorough initial evaluation of each case, which typically involves a focused history, physical examination, and laboratory testing. A thorough history can provide many useful insights into possible causes of a patient’s infertility. In obtaining a detailed sexual and fertility history, it is important to assess how long the couple has been trying to conceive, frequency of intercourse, and any previous fertility of either partner,...