TY - CHAP M1 - Book, Section TI - The Evaluation of the Infertile Man A1 - Ghayda, Ramy Abou A1 - Bhasin, Shalender A1 - Kathrins, Martin A2 - Bhasin, Shalender A2 - O’Leary, Michael P. A2 - Basaria, Shehzad S. PY - 2021 T2 - Essentials of Men’s Health AB - The American Society of Reproductive Medicine (ASRM) and the World Health Organization (WHO) define infertility as a disease rather than a condition.1,2 It is defined as the inability to conceive and establish a clinical pregnancy after 12 months (among women less than 35 years of age) or more of regular, timed, and unprotected sexual intercourse.3 The prevalence of infertility is estimated to be 1 in every 7 couples in the developed countries and 1 in 4 couples in the developing countries. Overall infertility is estimated to affect 8% to 12% of couples in their reproductive years globally.4 Male factors are contributory in 50% of infertile couples and are the sole culprit in 20% to 30%.5 Evaluation of the infertile man often requires a multifaceted approach to identify underlying pathologies, which may be correctable (Table 14-1). The evaluation approach described here is designed to facilitate the recognition of treatable conditions such as gonadotropin deficiency, obstruction, and coital disorders; identification of those who are candidates for corrective surgery or assisted reproductive technologies (ARTs); those who are sterile and should consider adoption or artificial insemination using donor sperm; and those who should undergo genetic screening and appropriate genetic counseling (Table 14-3). SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1174515863 ER -