Male Infertility May Lead To Severe Psychological Problems - Infertile Males Tend to be Less Healthy

Main Category: Fertility
Also Included In: Urology / Nephrology;  Men's health
Article Date: 05 Jul 2008 - 0:00 PDT

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ORLANDO, FL (UroToday.com) - (Reported from the Annual Meeting of the American Urological Association) Abstract 1740 reported that male infertility could lead to severe psychosocial problems including decreased interest in sexual relations, and problems with marital relationships. The stress increases as the evaluation for male infertility progresses.

Abstract 1907 showed that infertile males are less healthy and have more co-morbid illnesses including obesity. Abstract 1902 showed that any male infertility is associated with a 1.5 times higher risk of cancer, most notably prostate.

Ejaculatory dysfunction is a major problem in spinal cord patients but can be safely treated with electro-ejaculation or vibratory stimulation in 90% of men. Vibratory stimulation was successful even in the home setting.

Chan reported excellent results after vaso-vasostomy. He had a 92% patency rate, 34% unassisted pregnancy rate, and an additional 34% assisted reproductive pregnancy rate.

Abstract 1731 showed a nomogram based on years from the vasectomy and the presence of a sperm granuloma in predicting success after vaso-vasostomy.

Finally, an internet survey of fertility clinics found that only 58% discussed male-factor infertility, 16% recommended a vaso-vasostomy, and 7% had a urologist listed on the website.

Presented by Dana Ohl, MD, at the Annual Meeting of the American Urological Association (AUA) - May 17 - 22, 2008. Orange County Convention Center - Orlando, Florida, USA.

Reported by UroToday.com Contributing Editor David P. Wood, MD

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