Nonsurgical Management of Oligozoospermia

Abstract Male infertility secondary to oligozoospermia is surprisingly common. Although a majority of cases are idiopathic, oligozoospermia can be caused by endocrine dysfunction, anatomic abnormalities, medications, or environmental exposures. The work-up includes excluding reversible factors such...

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Bibliographic Details
Published in:The journal of clinical endocrinology and metabolism 2020-12, Vol.105 (12), p.1-e4207
Main Authors: Choy, Jeremy T, Amory, John K
Format: Article
Language:English
Subjects:
Care and treatment
Diagnosis
Disease Management
Ejaculation
Health aspects
Humans
Hypogonadism
Infertility
Male
Measurement
Mini-Reviews
Oligospermia - diagnosis
Oligospermia - etiology
Oligospermia - therapy
Oligozoospermia
Reproductive technology
Semen Analysis
Testosterone
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Summary:Abstract Male infertility secondary to oligozoospermia is surprisingly common. Although a majority of cases are idiopathic, oligozoospermia can be caused by endocrine dysfunction, anatomic abnormalities, medications, or environmental exposures. The work-up includes excluding reversible factors such as hormonal deficiency, medication effects, and retrograde ejaculation and identifying any underlying genetic syndrome and treating reversible medical causes. If no reversible cause is found, appropriate referrals to urology and assisted reproductive technology should be initiated. Lastly, clinicians should be aware of and respond to the psychological and general health ramifications of a diagnosis of oligozoospermia as part of the comprehensive care of men and couples struggling with a diagnosis of infertility.
ISSN:0021-972X
1945-7197
DOI:10.1210/clinem/dgaa390