It is now estimated that 1 in 3 couples will have even minor infertility problems, a rate which may increase depending on the age of the couple. In these cases, 30-40% is due only to the male factor (male infertility).
Investigating male infertility
When receiving medical history, causes of infertility related to diseases such as diabetes mellitus, mumps, previous surgery in the androgenic system, will be sought, as well as sexual history.
Information will be also obtained on any harmful environmental and / or occupational factors such as frequent contact with organic solutions, dyes, heat, oil products, dyes and heavy metals.
Some drugs that have been proven to affect spermatogenesis are spironolactone (diuretic), calcium channel blockers (anti-hypertensive), anti-androgens, high dose nitrofurantoin (antibiotic), cimetrogastric, cimetidor (anti-inflammatory) and erythromycin (antibiotic).
During the clinical examination, the architectural integrity of the genital tract and the presence of varicocele will be examined, while secondary sexual characteristics such as hair growth, muscle mass and tone of voice will be examined as well.