[The clinical workup is already a prognostic factor].
Clinical assessment of infertile men, after prior assessment of the spouse, is conventional, with an oral assessment and clinical examination, in conjunction with semen analysis and possibly an ultrasound. The patient should be encouraged to reduce his weight if applicable together with alcohol consumption and to stop smoking; excess weight has a deleterious effect on the motility of spermatozoa and the DNA fragmentation rate. The clinical examination must be thorough, allowing the identification of varicocele, cryptorchidism and testicular tumours. The approach should be multidisciplinary.
Rigot
J-M
JM
Service d'andrologie, hôpital Calmette, CHRU de Lille, 2, avenue Oscar Lambret, 59037 Lille cedex, France. jm-rigot@chru-lille.fr
D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis*; D008297:Male; D011379:Prognosis