Treatment of Male Infertility

  • Sherman Silber


With the arrival of ICSI, Devroey has argued that none of these complex andrologic tests are of great importance any longer anyway [1]. For the most part, treatment of male infertility, prior to IVF and ICSI, has been authority based and not evidence-based. It is highly doubtful whether the fertility of any male with oligospermia, or oligoasthenoteratospermia, can be improved by any treatment whatsoever, including antiestrogens such as Clomid and Tamoxifen, androgens, gonadotropins, or even varicocelectomy [1–10]. It has been argued that with the exception of an occasional testicular cancer that may be detected, even physical examination has no impact on therapeutic results for oligoasthenoteratospermia [10].


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sherman Silber
    • 1
    • 2
  1. 1.Infertility Center of St. LouisSt. Luke’s HospitalSt. LouisUSA
  2. 2.University of MichiganAnn ArborUSA

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