[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
May 7, 1982

Evaluation of the Male Partner of an Infertile Couple: An Algorithmic Approach

JAMA. 1982;247(17):2418-2422. doi:10.1001/jama.1982.03320420062041

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