Final recommendations

  • A clinical examination of the man is the first examination of the man to reveal the causes of infertility
  • The SPG examination shall be in accordance with the criteria and manual of the SPG examination by the WHO
  • Men with severe oligozoospermia or azoospermia (< 5 million spermatozoa/ml) should be subjected to a genetic examination
  • Varicocele surgery should be considered in the case of clinical manifestation of varicocele, or pathological spermiogram
  • No evidence indicates the benefit of treatment of varicocele for men who have a normal SPG
  • Testosterone replacement therapy is strictly contraindicated for the treatment of male infertility
  • Medicamental therapy of male infertility is recommended for cases of hypogonadotropic  hypogonadism
  • Erectile dysfunction and premature ejaculation can greatly exacerbate the fertilization potential of the man
  • In the pathological spermiograms in men with idiopathic infertility it is possible to consider supplementation by antioxidants supplements
Source: The authors:
MUDr. Martin Hrivňák, PhD.
MUDr. Igor Bartl
MUDr. Ivan Kubiš
MUDr. Branislav Obšitník, PhD.