Unexplained Male infertility: diagnosis and Management

Unexplained male infertility is a diagnosis reserved for men in whom routine semen analyses results are within normal values and physical as well as endocrine abnormalities were ruled out. In addition to erectile problems and coital factors, immunologic causes and sperm dysfunction may contribute to...

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Main Authors: Alaa Hamada, Sandro C. Esteves, Mark Nizza, Ashok Agarwal
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2012-10-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000500002
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author Alaa Hamada
Sandro C. Esteves
Mark Nizza
Ashok Agarwal
author_facet Alaa Hamada
Sandro C. Esteves
Mark Nizza
Ashok Agarwal
author_sort Alaa Hamada
collection DOAJ
description Unexplained male infertility is a diagnosis reserved for men in whom routine semen analyses results are within normal values and physical as well as endocrine abnormalities were ruled out. In addition to erectile problems and coital factors, immunologic causes and sperm dysfunction may contribute to such condition. New etiologies of unexplained male infertility include low level leukocytospermia and mitochondrial DNA polymerase gene polymorphism. Contemporary andrology may reveal cellular and sub-cellular sperm dysfunctions which may explain subfertility in such cases, thus aiding the clinician to direct the further work-up, diagnosis and counseling of the infertile male. The objective of this article is to highlight the concept of unexplained male infertility and focuses on the diagnosis and treatment of this condition in the era of modern andrology and assisted reproductive techniques. Extensive literature review was performed using the search engines: Pubmed, Science-direct, Ovid and Scopus.
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spelling doaj.art-b2905f589ab8403ab94771cd3ee76bd02022-12-22T02:54:42ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192012-10-0138557659410.1590/S1677-55382012000500002Unexplained Male infertility: diagnosis and ManagementAlaa HamadaSandro C. EstevesMark NizzaAshok AgarwalUnexplained male infertility is a diagnosis reserved for men in whom routine semen analyses results are within normal values and physical as well as endocrine abnormalities were ruled out. In addition to erectile problems and coital factors, immunologic causes and sperm dysfunction may contribute to such condition. New etiologies of unexplained male infertility include low level leukocytospermia and mitochondrial DNA polymerase gene polymorphism. Contemporary andrology may reveal cellular and sub-cellular sperm dysfunctions which may explain subfertility in such cases, thus aiding the clinician to direct the further work-up, diagnosis and counseling of the infertile male. The objective of this article is to highlight the concept of unexplained male infertility and focuses on the diagnosis and treatment of this condition in the era of modern andrology and assisted reproductive techniques. Extensive literature review was performed using the search engines: Pubmed, Science-direct, Ovid and Scopus.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000500002Male infertilityDiagnosis, Semen analysisOxidative stressDNA damageReproductive Techniques, Assisted
spellingShingle Alaa Hamada
Sandro C. Esteves
Mark Nizza
Ashok Agarwal
Unexplained Male infertility: diagnosis and Management
International Brazilian Journal of Urology
Male infertility
Diagnosis, Semen analysis
Oxidative stress
DNA damage
Reproductive Techniques, Assisted
title Unexplained Male infertility: diagnosis and Management
title_full Unexplained Male infertility: diagnosis and Management
title_fullStr Unexplained Male infertility: diagnosis and Management
title_full_unstemmed Unexplained Male infertility: diagnosis and Management
title_short Unexplained Male infertility: diagnosis and Management
title_sort unexplained male infertility diagnosis and management
topic Male infertility
Diagnosis, Semen analysis
Oxidative stress
DNA damage
Reproductive Techniques, Assisted
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000500002
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AT marknizza unexplainedmaleinfertilitydiagnosisandmanagement
AT ashokagarwal unexplainedmaleinfertilitydiagnosisandmanagement