Navratil H
Ann Biol Clin (Paris). 1985;43(1):43-7.
The clinical approach to male infertility involves uncertainties, and various circumstances must be considered: 1. If no pregnancy occurs in the case of a couple whose sexual relations are "normal" and regular, and who have used no form of contraceptive for one year, the evaluation must systematically include both the woman and the man. 2. In the case of a man wishes to know his capacity for procreating, what are the possibilities for improvement? 3. Are there ways of predicting male infertility? If there are, the socioprofessional and iatrogenic risks should be more fully investigated. 4. What are the current possibilities for male contraception? In practical terms, the case of the infertile couple offers the widest field for clinical and paraclinical investigations. An exploratory strategy must guide this evaluation, assuring efficacy and taking account of current therapeutic possibilities, which are still unfortunately limited. The change in attitudes is clearly expressed by the number of couples who resort to adoption or artificial insemination rather than continue examinations and treatments when there is little chance of achieving pregnancy.
男性不育的临床处理存在不确定性，必须考虑多种情况：1. 对于一对性关系“正常”且规律、未采取任何避孕措施达一年但仍未怀孕的夫妇，评估必须系统地涵盖女方和男方。2. 对于希望了解自己生育能力的男性，改善生育能力的可能性有哪些？3. 是否存在预测男性不育的方法？如果有，应更全面地调查社会职业和医源性风险。4. 目前男性避孕有哪些方法？实际上，不育夫妇的情况为临床和辅助临床检查提供了最广阔的领域。必须有一个探索性策略来指导这一评估，确保有效性并考虑到目前仍很有限的治疗可能性。当怀孕几率很小时，越来越多的夫妇选择收养或人工授精而非继续检查和治疗，这清楚地表明了态度的转变。
