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Asian J Androl. 2012 Jan;14(1):82-7. doi: 10.1038/aja.2011.60. Epub 2011 Dec 19.

Evaluation of the azoospermic male.

Author information

1
Boston University School of Medicine, MA 02118, USA. robert.oates@bmc.org

Abstract

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.

PMID:
22179510
PMCID:
PMC3735162
DOI:
10.1038/aja.2011.60
[Indexed for MEDLINE]
Free PMC Article

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