Background: The current study aims to identify some of the causes that may cause male infertility especially the secondary type, which has recently increased in urban life more than rural life, using some hormonal factors such as FSH, LH, testosterone, and biochemical parameters such as lipoprotein alpha and some immune indicators such as anti-insulin antibody. Study Design: This case control study was carried out on infertile males at Al-Hussein Teaching Hospital, Thi Qar city, over a six-month period from September 2017 to March 2018. Methods: Hormonal evaluations were performed on those with abnormalities in their sperm count. Results: The total number of patients evaluated for infertility was 97. The mean age of the patients was 33.5 years. 81 patients (83.5 %) had primary infertility and 16 patients (16.5 %) had secondary infertility, and according to the study, there was a significant association with the problem. Hormones change according to the age of the patients as there is a significant difference in FSH and testosterone with no significant difference in LH. While hormonal changes between the age groups of the study were normal with FSH and no change in the values of both LH and testosterone these results apply with regard to the duration of infertility for the time group 2-5 years. The opposite is true regarding the presence or absence of varicocele. Regarding alpha-lipoprotein the most affected age groups are G2 and G3 with a 2-5year infertility period and secondary infertility with varicocele. What this study has addressed about anti-insulin antibody affects the age group G2 by increasing the periods of secondary infertility by 2-3 years and is not related to the presence or absence of varicocele. Conclusion: Varicocele plays a major and important role in male infertility especially if it is associated in any way with insulin resistance or high alpha lipoprotein.
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