Hetzel W D
MMW Munch Med Wochenschr. 1981 May 15;123(20):829-32.
The importance of history and the findings of clinical examination is often underestimated in examination for male fertility. From the data so obtained arises the indication for examining the exocrine (spermiogram) and endocrine function of the hypothalamo-hypophysealgonad axis (testosterone, LH, FSH, prolactin, GRH and HCG stimulation tests). The numerous causes of fertility impairment outside the endocrinological field (internal medical and urological diseases, consumption behavior, psychic disturbances, medicines etc) are referred to. The couple seeking help are spared unnecessary deviations through good cooperation between the gynecologist and andrologically oriented disciplines.
在男性生育能力检查中,病史及临床检查结果的重要性常常被低估。根据由此获得的数据,可得出检查下丘脑 - 垂体 - 性腺轴外分泌功能(精液分析)及内分泌功能(睾酮、促黄体生成素、促卵泡生成素、催乳素、促性腺激素释放激素及人绒毛膜促性腺激素刺激试验)的指征。文中还提及了内分泌领域之外导致生育能力受损的众多原因(内科和泌尿科疾病、消费行为、精神障碍、药物等)。通过妇科医生与男科相关学科之间的良好合作,寻求帮助的夫妇可避免不必要的弯路。