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It is common for the couple to consult their gynaecologist. The male partner also needs to be investigated.
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| Plan of Male Infertility Management |
| Physical examination to rule out. |
| Varicocoele |
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| Abnormalities of the testes |
| Cryptorchidism (testes not present in the scrotum/hidden): If the condition is bilateral sterility is very likely |
| Hypogonadism (small sized testes): it is significant if accompanied by a low level random serum testosterone level |
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| Semen examination: if the sperm count is low then hormonal investigations are required which should include assay of following hormones |
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Prolactin
Testosterone
FSH (follicular stimulating hormone)
LH (Luteinizing hormone)
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| Treatment of anti-sperm antibodies |
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| Testicular biopsy- rarely indicated |
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