(Concluded from page 229.)
1. Nonproduction.—Male.—(a.) Should the testes of the male be congenitally absent from the scrotum there is a possibility of their being present in the abdominal cavity, but in either case if aspermia or azoospermia exists, treatment is useless. Should spermatozoa exist in small quantities the same remedies can be used that are employed in early decay. These can also be used in cases of retarded development.
(b.) Where inflammatory or other troubles have produced destruction of the glandular structure, restoration of the destroyed tissue is impossible; but under iodides and mercurials with counterirritants and electricity, the inflammatory deposits may be absorbed and the arrested secretion from the remaining healthy portions reestablished.
(c.) When sterility in the male is accompanied by atrophy or softening coincident with varicocele, hernia, or other benign tumors, the prognosis is good, if the individual will submit to surgical treatment in time.
KAY TW. A STUDY OF STERILITY, ITS CAUSES AND TREATMENT.Being an Essay which received the First Prize of the Alumni Association of the College of Physicians and Surgeons, Baltimore.. JAMA. 1891;XVI(8):265–270. doi:10.1001/jama.1891.02410600013002a