The clinical approach to the infertile man begins with a careful medical
history and physical examination, assessing both the andrological and internal medicine
aspects. The main objectives of the evaluation are to identify modifiable risk factors
and appropriate treatments which may improve male fertility, and to exclude the
presence of comorbidities such as testicular cancer, osteoporosis, and endocrine or
genetic problems that can be associated with infertility. The laboratory tests described
include the evaluation of endocrine tests, of the spermiogram and of genetic studies.
Keywords: Antisperm Aantibody, Asthenozoospermia, Azoospermia, DNA
Fragmentation, Fluidification, FSH, LH, Karyotype, Medical History, Microdeletions
of the Y Chromosome, Nonprogressive Motility, Oligozoospermia,
Progressive motility, Pulsatile Prolactin, SHBG, Spermiogram, Teratozoospermia,
Testicular Biopsy, Testicular Fine Needle Aspiration, Viscosity.
