Introduction: Secondary infertility is defined as the inability to achieve a new pregnancy for a couple that has been able to procreate in the past. Material and methods: Over a 16-year period, 49 patients consulted for male secondary infertility. Clinical, laboratory or ultrasound assessment demonstrated the cause of infertility. Results: These patients had a mean age of 33.6 years (range: 26 to 44 years). These couples had an average of 1 living child per family, corresponding to a girl in two-thirds of cases and a boy in one-third. In these patients, infertility was due to the presence of varicocele in 15 patients (31 of cases), infection in 14 patients (29), and varicocele associated with infection in 11 cases (22). Conclusion: This assessment revealed two main aetiologies, but some causes remain obvious, such as surgery with resection of the prostate or testicles, or certain cytotoxic therapies.
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