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Male Infertility

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Andrology and Sexual Medicine

Part of the book series: Management of Urology ((MU))

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Abstract

One in eight couples encounter problems when attempting to conceive a first child and one in six when attempting to conceive a subsequent child. Half of the cases are linked to male infertility. The pathophysiology of male infertility is not perfectly understood. Most of infertile patients have abnormalities in the semen analysis. However, up to 30% of couples have unexplained male infertility which is defined as infertility of unknown origin with normal sperm parameters and partner evaluation.

Similarly, 30–40% of patients with impaired sperm parameters have idiopathic male infertility with no previous history of diseases affecting fertility and normal findings on physical examination as well as endocrine, genetic and biochemical laboratory testing.

Given the complexity of male infertility, accurate diagnostic evaluation is needed and it must always include physical examination, a detailed medical history, testicular ultrasound and Semen analysis. The clinical management of patients with male infertility depend indeed on the underlying etiology.

In the following paragraphs we will provide readers with a complete overview of the most clinically useful classification of male infertility with the current available evidence and recommendation on male infertility treatment.

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Authors and Affiliations

  1. Department of Urology and Organ Transplantation, University of Foggia, Foggia, Italy

    Ugo Falagario, Anna Ricapito & Carlo Bettocchi

Authors
  1. Ugo Falagario
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  2. Anna Ricapito
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  3. Carlo Bettocchi
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Corresponding author

Correspondence to Carlo Bettocchi .

Editor information

Editors and Affiliations

  1. Department of Urology, Gulhane Research and Training Hospital University of Health Sciences, Ankara, Turkey

    Selcuk Sarikaya

  2. Department of Urology, University of Catania, Catania, Italy

    Giorgio Ivan Russo

  3. Department of Urology, University College London Hospitals, London, UK

    David Ralph

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Falagario, U., Ricapito, A., Bettocchi, C. (2022). Male Infertility. In: Sarikaya, S., Russo, G.I., Ralph, D. (eds) Andrology and Sexual Medicine . Management of Urology. Springer, Cham. https://doi.org/10.1007/978-3-031-12049-7_14

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  • DOI: https://doi.org/10.1007/978-3-031-12049-7_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-12048-0

  • Online ISBN: 978-3-031-12049-7

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