Male Evaluation

Male Evaluation

• Present: Age, Occupation, Medical Illness, Addiction To Tobacco & Alcohol.
• Sexual: Erectile & Ejaculatory Dysfunction.
• Contraceptive
• Past: Mumps, T.B, Std, Hydrocele, Varicocele, Undescended Testis.
• Family: Diabetes Mellitus, Hypertension.

  Azoospermia is a condition where the ejaculate will not have any sperm. There are two conditions in which this happens.

• Obstructive azoospermia- is due to congenital absence of vas deference.
• Non obstructive azoospermia- may be due to testicular failure.
• If the serum FSH is very high in a man with azoospermia, there are not many treatment options except adoption or donor semen insemination.
• In obstructive, we do PESA/ICSI for the patients. Where the sperms are aspirated from the epididymis of the testicular and used to inject the ovum of a wife.
• Erectile and ejaculatory disorders need psychological counseling.
• Cigarette smoking, addicted to drugs, extremely hot environment all can reduce the sperm motility.
• If there are average numbers of sperms with motility, even if it is reduced, a procedure called IUI where semen is processed to separate sperm and put inside the uterus can be attempted. The success rate is 20%.

Authored By Dr. N.P. Vijayalakshmy MBBS, M.D., D.G.O