Analysis of failures of conservative treatment of clinical forms of male infertility

Abstract

In a survey of 1012 married couples, the male factor of infertility was detected in 54.7% (p<0.05). For the reliability of evaluation of the results of spermatogenesis correction and the effectiveness of IVF (ICSI) procedures, 292 men (28.8%) were selected with an infertility factor and healthy wives. At the same time, in 196 people, the etiologic factor was known and in 96 patients idiopathic form of infertility was established (32,87%, р<0,05). Patients were given 2 courses of stimulating therapy depending on the etiologic cause or empirical therapy in cases of the presence of an idiopathic form. In the absence of effect, couples were sent to IVF (ICSI). The effectiveness of the treatment, depending on the presence of 1, 2 or more 2 factors of infertility, was analysed in the SPSS® 17.0 (© SPSS Inc.) tables, the reliability was considered a program Biostat, 6.1. A direct correlation was found between the clinical variant of infertility and the frequency of pregnancy in the study group, and as well as a direct correlation between the number of external factors and the results of treatment.