Diagnostic evaluation and therapeutic management of the male in the infertile couple

Abstract

About 15-20 % couples have no children or have not enough than they want. About 50 % of the causes infertility in the couple its related to the male etiological factor. Only 60 -70 % of the causes of male infertility are known, 40 % is considered idiopathic or unexplained. The diagnostic and therapeutic management of the male infertility is permamently addapted to new scientific discoveries. The purpose of the article is a analaisys of the methods of diagnostic and treatment of male infertility through the the scientiphic discovery acording to the data providen in international guidelines. Male infertility has multiple etiological factors (urology, endocrine, genetic) and requires a adequate evaluation, which is not limited to spermogram analasys. In case of infertile couple, the male must be examined totaly not only to elucidate and treat the etiological factors involved, but to diagnose other concomitent other than urologic disorder with potential consequences for the futher quality and duration of life.