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The need for clinical evaluation and semen analysis of infertile men.

机译:需要对不育男性进行临床评估和精液分析。

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OBJECTIVE: Although many men in Third World countries are reluctant to participate in an infertility work-up, we collected data from a group of husbands of females attending our infertility clinic. We intend to present these results as motivation for other men to realize the importance of an evaluation when they are involved in a barren marriage. STUDY METHODS: A detailed history was taken, and physical and urogenital examination was carried out on 400 male partners of women attending the infertility clinic of PGIMER Chandigarh. Semen analysis was interpreted as normal or abnormal according to the WHO manual. RESULTS: Age of the male partners of 400 infertile couples and their duration of infertility correlated with the pregnancy rate. Fifty percent of the men with a past history of infection, medical or surgical problems had abnormal semen analysis. The presence of urogenital abnormalities had a significant correlation with low sperm count and low motility. Social problems related to alcohol and smoking produced low pregnancy rates. CONCLUSION: A detailed history, examination and work-up of male partners of infertility couples is as important as in the female partner. Counseling and treatment may improve pregnancy rates.
机译:目的:尽管第三世界国家的许多男性都不愿参加不孕检查,但我们从参加不孕诊所的一组女性丈夫那里收集了数据。我们打算提出这些结果,以激励其他男人意识到婚姻不佳时进行评估的重要性。研究方法:收集详细的病史,并对在PGIMER Chandigarh的不育诊所就诊的400名女性男性伴侣进行身体和泌尿生殖系统检查。根据WHO手册,精液分析被解释为正常或异常。结果:400对不育夫妇的男性伴侣的年龄及其不孕持续时间与妊娠率相关。过去有感染史,内科或外科问题的男性中有50%的精液分析异常。泌尿生殖道异常的存在与精子数量少和运动能力低密切相关。与酗酒和吸烟有关的社会问题导致低怀孕率。结论:不育夫妇的男性伴侣的详细病史,检查和检查与女性伴侣一样重要。咨询和治疗可以提高怀孕率。

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