Conception rate for infertile couples. The importance of anamnesis and signs of genital disease in men with abnormal semen findings.
During a 4-year period, 259 men were investigated for primary (86%) or secondary (14%) infertility. Some 3-5 years after the initial investigation, a follow-up study of conception rate, was performed in 200 of these cases. Conception had occurred in 79 couples (39%). Sperm density was lower among men with a history of genital disease(s) than amongst men without such a history, but conception rate was not influenced by a positive history. Men with signs of genital disease(s) had lower sperm density, a smaller proportion of morphologically normal spermatozoa and lower sperm motility, than men with a normal finding at physical examination. Men with such signs had the same conception rate as men with normal physical findings. The only subgroup, in which conception rate was lower than in men with no physical abnormalities, was men with palpatory abnormal epididymis(des).
Abramsson
L
L
Department of Urology and Andrology, Umeå University Hospital, Sweden.
Duchek
M
M
Lundgren
B
B
D005260:Female; D005306:Fertilization; D005500:Follow-Up Studies; D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008487:Medical History Taking; D010808:Physical Examination; D011446:Prospective Studies; D012661:Semen / Q000032:analysis*; D013548:Sweden / Q000453:epidemiology; D013733:Testicular Diseases / Q000150:complications*; D013997:Time Factors