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Every dermatologist knows and has known for a long time that the x-rays in sufficient doses interfere with the spermatogenic function of the testicle or destroy it entirely. Consequently, when he uses this modality about the genital organs for therapeutic purposes he is careful to protect these organs from any possibility of being affected by the x-rays.
In my practice, however, I have had a few patients who, in spite of such protection, became sterile although previously fertile, and, as far as could be determined by the most painstaking investigation, this was the sole cause for the sterility. I would emphasize that the cases referred to were not treated by general practitioners or those who only occasionally employ the x-rays but generally by expert and experienced dermatologists, fully aware of the danger, and, according to the patients' statements, adequately protected the genitals. In most of the cases the x-rays had
MAX HUHNER. STERILITY AND THE X-RAYS. JAMA. 1935;104(20):1808–1809. doi:10.1001/jama.1935.02760200030008