Evaluation of the azoospermic male

作     者：Robert Oates 

作者机构：Boston University School of Medicine Boston MA 02118 USA 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2012年第14卷第1期

页      面：82-87,177页

核心收录：

学科分类：10[医学] 

主　　题：azoospermia congenital bilateral absence of the vas deferens male infertility Y chromosomal microdeletion 

摘      要：When presented with an azoospermic patient, a thorough history and careful, considered physical examination often leads to a definite or presumptive diagnosis. An algorithmic, logical thought process is important to have in mind when embarking on the evaluation. Adjunctive laboratory tests, such as hormonal assays or genetic studies, are often complementary and/or additive and allow a very precise determination to be made as to the etiologies, either genetic or acquired. It is only with this information that a therapeutic plan can be made for the patient. As will be discussed, a targeted approach to testing is far more satisfying and cost-effective than a blind, shotgun approach.