Male factor infertility: A contemporary overview of investigation, diagnosis and management

Author:

Krishan Anil1ORCID,Vukina Josip2,Pearce Ian3,Modgil Vaibhav34

Affiliation:

1. University Hospitals Birmingham NHS Foundation Trust, UK

2. University of Pittsburgh School of Medicine, USA

3. Manchester University NHS Foundation Trust, UK

4. Department of Urology, Manchester Royal Infirmary, UK

Abstract

Infertility, defined as the failure to achieve a clinical pregnancy after 1 year of regular, unprotected sexual intercourse, is a public health issue of global concern. It affects up to 12% of couples worldwide. While traditionally, research and treatment have focused on female causes of infertility, male factors contribute to up to 70% of cases and therefore deserve appropriate recognition. The purpose of this comprehensive review is to detail the diagnostic work-up, investigations and management of male factor infertility. We discuss much-debated pathologies, such as varicocele, and novel investigations, including sperm DNA fragmentation and reactive oxygen species.Level of evidence: Not applicable

Publisher

SAGE Publications

Subject

Urology,Surgery

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