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GU: Male Infertility
GU: Male Infertility
25
Anatomy
Graduate
01/22/2012

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Term
Drugs that may impair fertility:
Definition
CSPSN
- Cimetidine
- Spiranolactone
- Phenytoin
- Sulfasalizine
- Nitrofurantoin
Term
%age of couples that struggle with infertility:
Definition
15-20%
Term
Oligopermia:
Definition
< 20 million/mL
Term
Azoospermia:
Definition
no sperm
Term
Normal sperm volume:
Definition
1.5-5.0 mL
Term
Normal sperm density:
Definition
greater than 20 million/mL
Term
Normal Total Sperm Count:
Definition
greater than 50 million/mL
Term
Normal Motility:
Definition
- greater than or equal to 50% with forward progression greater than 2.0 on a semiquantitative scale of 0 to 4.
Term
Normal sperm morphology:
Definition
greater than 35% with standard criteria, greater than 14% with strict criteria
Term
normal WBC in semen analysis:
Definition
less than 1 million/milliliter
Term
Normal sperm agglutination in semen analysis:
Definition
no evidence of it= normal
Term
Normal RBC in semen analysis:
Definition
none
Term
List different aspects of semen analysis:
Definition
- Volume
- Sperm Density
- Total Sperm Count
- Motility
- Morphology
- WBC
- Sperm Agglutination
- RBC
Term
semen analysis collection:
Definition
- abstinence for 2-3 days before collection
- samples should be examined within 1-2 hours
- maintain specimens at room/body temperature
- collect specimens several weeks apart
Term
First step when male pt complains of infertility:
Definition
semen analysis
Term
With infertility, testosterone, LH, and FSH tests are indicated when sperm count is less than __ per mL or when clinical stigmata such as ___ are present.
Definition
- 10 million/mL
- Stigmata: gynecomastia, testicular atrophy, reduced libido

Endocrine testing usually reserved for the specialist
Term
Azoospermia could be a problem with __ or ___. All azoospermia should be __. Finding a sperm does not rule out obstruction. REQUIRES A REFFERAL.
Definition
- spermatogenesis or obstruction
- centrifuged
Term
For oligospermia, an ___ ___ should be done.
Definition
endocrine screen
Term
With asthenospermia, what should be done?
Definition
- antisperm antibody assay
- evaluate for infection
- consider varicocele or partial obstruction
Term
Vericocele grading:
Definition
- Grade I: only palpable during valsavla
- Grade II: palpable without valsalva
- Grade III: dx by visual inspection
Term
Pyospermia:
Definition
- greater than 1 million WBC/mL
Term
If semen analysis report is talking about round cells, they mean:
Definition
WBCs
Term
With Pysosperia consider:
Definition
- genital tract infections or inflammation
Term
Indications for surgical repair of vericocele:
Definition
- MAJOR INDICATOR IS TESTICULAR GROWTH ARREST
- Recommended for:
- bilateral vericoceles
- males with one testicle
- symptomatic vericocele
- large vericocele
Term
Tmt options for male infertility;
Definition
- hCG
- LH
- purified FSH
- human menopausal gonadotropin (hMG)
- antibiotics for infxn
- anticholinergics
- anti-estrogens
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