Bilateral varicocele with oligospermia

Which of the following is the most likely diagnosis? A) Varicocele B) Indirect hiatal hernia C) Testicular torsion D) Hydrocele E) Epididymitis

A 28 yr female comes with her husband for infertility. She has regular menstruations. Her physical exam is normal. They are married for 2 years and have not used any contraception. Next step? A) LH levels mid-cycle and Progesterone levels at 21st day of menstruation B) LH and FSH levels. C) Hysterosalpingography D) Ovarian ultrasound E) None of the above. Correct answer is None of the above. (Evaluate the husband first and do Sperm analysis!) -Infertility: Inability to conceive after 1 yr of intercourse without contraception. -First step in diagnosing infertility: Do Semen analysis.

A 58yrs old man c/o pain and swelling in Lt inguinal region since a week,cbc,Rbs,Rft are normal,usg report posted,kindly suggest?

ABC OF : MALE INFERTILITY. ( I ). MAY BE USEFUL. ** Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive. ** A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy. ** Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male. KNOWN CAUSES OF MALE INFERTILITY :- 1. SPERM PRODUCTION PROBLEMS : • Chromosomal or genetic causes • Undescended testes (failure of the testes to descend at birth) • Infections • Torsion (twisting of the testis in scrotum) • Varicocele (varicose veins of the testes) • Medicines and chemicals • Radiation damage • Unknown cause 2. BLOCKAGE OF SPERM TRANSPORT : • Infections • Prostate-related problems • Absence of vas deferens • Vasectomy 3. SEXUAL PROBLEMS (ERECTION and EJACULATION problems) : • Retrograde and premature ejaculation • Failure of ejaculation • Erectile dysfunction • Infrequent intercourse • Spinal cord injury • Prostate surgery • Damage to nerves • Some medicines 4. HORMONAL PROBLEMS : • Pituitary tumours • Congenital lack of LH/FSH (pituitary problem from birth) • Anabolic (androgenic) steroid abuse 5. SPERM ANTIBODIES : • Vasectomy • Injury or infection in the epididymis • Unknown cause

27 yrs Male Patient Dx of Infertility 1 degree x5yrs He was taking Allopathic medicine No Hx of DM HTN Thyroid Dysfunction Varicocele Hydrocele Scrotal injury o/E male external Genitalia Good kindly give valuable opinion and Treatment for Severe Oligospermia