THE FIRST and most important rule in the evaluation of infertility is to consider the problem from the standpoint of both members of the couple. Too often a woman is extensively investigated only to discover later that her husband is azoospermic, and, likewise, a man undergoes lengthy treatment for oligospermia while his wife has undiagnosed tubal obstruction or has anovulatory cycles. The evaluation of both the man and woman should proceed in parallel until a significant problem is uncovered. Ideal management is attained in a clinical setting where the couple is seen by a team of physicians. In the usual case, where the man is under the care of either an endocrinologist or a urologist and the woman is under the care of a gynecologist, communication between physicians must be ongoing.
The male partner should undergo a complete history and physical examination with special emphasis on the reproductive system. The
Swerdloff RS, Boyers SP. Evaluation of the Male Partner of an Infertile Couple: An Algorithmic Approach. JAMA. 1982;247(17):2418–2422. doi:10.1001/jama.1982.03320420062041
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: