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When anatomic dysfunction or infection causes infertility, treatment consists of correcting the underlying problem. A varicocele requires surgical repair or removal. For patients with sexual dysfunction, treatment includes education, counseling or therapy (on sexual techniques, coital frequency, and reproductive physiology), and proper nutrition with vitamin supplements. Decreased follicle-stimulating hormone levels may respond to vitamin B therapy; decreased LH levels, to human chorionic gonadotropin (hCG) therapy. Normal or elevated LH level requires low dosages of testosterone. Decreased testosterone levels, decreased semen motility, and volume disturbances may respond to hCG.
A patient with oligospermia who has a normal history and physical examination, normal hormonal assays, and no signs of systemic disease requires emotional support and counseling, adequate nutrition, multivitamins, and selective therapeutic agents, such as clomiphene, hCG, and low dosages of testosterone. Obvious alternatives to such treatment are adoption and artificial insemination.
Source: Professional Guide to Diseases (Eighth Edition), 2005
When anatomic dysfunction or infection causes infertility, treatment consists of correcting the underlying problem. A varicocele requires surgical repair or removal.
For patients with sexual dysfunction, treatment includes education, counseling or therapy (on sexual techniques, coital frequency, and reproductive physiology), and proper nutrition with vitamin supplements.
Decreased follicle-stimulating hormone levels may respond to vitamin B therapy; decreased LH levels may respond to chorionic gonadotropin therapy. A normal or elevated LH level requires low dosages of testosterone. Decreased testosterone levels, decreased semen motility, and volume disturbances may respond to chorionic gonadotropin.
Patients with oligospermia who have a normal history and physical examination, normal hormonal assay results, and no signs of systemic disease require emotional support and counseling, adequate nutrition, multivitamins, and selective therapeutic agents, such as clomiphene, chorionic gonadotropin, and low dosages of testosterone. Obvious alternatives to such treatment are adoption and artificial insemination.
Source: Handbook of Diseases, 2003
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