Treatment of Male Infertility

1. Front Matter

   Pages I-XX

   PDF

2. General Considerations

   1. Male Infertility: Problems in Assessing Response to Treatment

      • Jerald Bain

      Pages 1-4

3. Medical Treatment

   1. Inflammation and Infection

      • C. R. D. Nahoum

      Pages 5-32

   2. Clomiphene Citrate in the Treatment of Male Infertility

      • A. M. C. M. Schellen

      Pages 33-44

   3. Tamoxifen

      • F. H. Comhaire

      Pages 45-53

   4. LHRH and Its Analogs in the Treatment of Idiopathic Normogonadotropic Oligozoospermia

      • L. Schwarzstein, N. Aparicio

      Pages 55-69

   5. Hyperprolactinemia in Male Infertility: Treatment with Bromocriptine

      • E. del Pozo

      Pages 71-84

   6. Gonadotropin Therapy in Male Infertility

      • S. J. Winters, P. Troen

      Pages 85-101

   7. Androgen Therapy in Hypogonadism and Infertility

      • E. Nieschlag, C. W. Freischem

      Pages 103-115

   8. Mesterolone: a New Androgen for the Treatment of Male Infertility

      • B. Norman Barwin

      Pages 117-123

   9. Kinin-Releasing Pancreatic Proteinase Kallikrein

      • W. B. Schill

      Pages 125-142

   10. Treatment of Male Infertility with Nucleotides

       • G. F. Menchini-Fabris, M. Mariani

       Pages 143-152

   11. Immunological Infertility in Men: Clinical and Therapeutic Considerations

       • J. Friberg

       Pages 153-168

   12. Nonsurgical Treatment of Varicocele

       • M. P. P. de Castro

       Pages 169-178

   13. Retrograde Ejaculation

       • J. P. Collins

       Pages 179-189

   14. Sexual Dysfunction in the Male

       • G. Kockott

       Pages 191-208

4. Surgical Treatment

   1. Varicocele: Its Role in Male Infertility

      • H. Fenster, M. McLoughlin

      Pages 209-220

   2. Obstruction in the Male Reproductive Tract

      • L. V. Wagenknecht

      Pages 221-248

   3. Hydrocele, Spermatocele, and Peyronie’s Disease

      • A. Kelâmi

      Pages 249-261

5. Cryopreservation and Insemination

   1. Cryopreservation and Pooling of Spermatozoa

      • J. Barkay, H. Zuckerman

      Pages 263-281

Our insight into the mechanisms of the physiology of reproduction has experienced a swift and constant development these last few years. The advent of more sophisticated diagnostic methods and their relatively easy clinical application allow for the incorporation of that knowledge into the evaluation of the infertile couple. These facts, together with an obvious change in social psychology, have facilitated the development of different specialities dealing with the problems of infertility. It is now possible in medical centers all around the world to undertake a better disposition of the infertile husband to look for advice, to be studied, and treated. Confronted with this situation we are still unable to offer specific therapy in most cases; however, empirically based therapy abounds. Advances in therapy have not kept pace with our increased physio­ logical knowledge and improved diagnostic techniques. Patho­ physiological mechanisms and etiological factors in male infertility are largely unknown. This has significantly hampered both clinical evaluation and advances in treatment allowing for frequent non­ scientific therapeutic incursions into the armamentarium of the an­ drologist. Several factors have given birth to therapeutic "fashions", which are bound to survive as long as this state of lack of knowledge con­ tinues. For example, we may ask whether the treatment of varicocele constitutes a fashion? Though we accept the treatment of varicocele as the best available treatment of male infertility, we do not know its mechanism of action and so we cannot predict a therapeutic result.

• Sterilität
• birth
• evaluation
• fertility
• infection
• infertility
• inflammation
• pharmacology
• physiology
• production
• reproduction
• surgery
• testis
• therapy
• treatment

• Division of Endocrinology and Metabolism, University of Toronto and Mount Sinai Hospital, Toronto, Canada

  Jerald Bain

• Dermatologische Klinik und Poliklinik der Universität München, München 2, West Germany

  Wolf-B. Schill

• Grupo de Estudio en Fertilidad y Endocrinologia de Rosario, Rosario (SF), Argentina

  Luis Schwarzstein

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