Dadhich P, Ramasamy R, Lipshultz L I
Department of Urology, Baylor College of Medicine, Houston, TX, USA -
Minerva Urol Nefrol. 2015 Jun;67(2):157-68. Epub 2015 Jan 21.
One in six couples are infertile, and in 50% of these couples, a male factor plays a role. Therefore, it is imperative that physicians become comfortable in the basic evaluation of the infertile male. By performing a thorough history and physical examination, physicians can usually establish a differential diagnosis and proceed to laboratory testing that will help to establish an etiology for infertility. The purpose of this review is to provide general guidelines for a physician seeking to evaluate a man's fertility status and to suggest the most common pathologies that might be found through a directed work-up.
六对夫妻中就有一对存在不孕问题，其中50%的夫妻，男方因素在不孕中起作用。因此，医生必须熟悉对不孕男性进行基本评估。通过详细询问病史和体格检查，医生通常能够做出鉴别诊断，并进一步进行实验室检查，以帮助确定不孕的病因。本综述的目的是为寻求评估男性生育状况的医生提供一般指导方针，并指出通过针对性检查可能发现的最常见病理情况。
