170 male patients attending the urology clinic at Bahrain Defence Force Hospital were investigated for infertility. In all, 61 cases [36%] had azospermia, most commonly caused by idiopathic hyperprolactinaemia.
Serum antisperm antibodies were detected in 7 cases, 5 of whom were treated with Prednisolone with moderate success. A testicular biopsy was performed on 30 infertile men with azoospermia who exhibited normal hormonal profiles. Histological examination revealed normal spermatogenesis in 4 cases indicating a possible extra-testicular seminal pathway obstruction, subsequently confirmed on scrotal exploration. Various medications including Clomiphene citrate, androgens and steroids were used in treating various forms of infertility with encouraging results.39 infertile males whose wives were pronounced gynaecologically normal were referred to the newly established assisted fertility programme which utilises the gamete intra-fallopiam tube transfer [GIFT] technique. The results are eagerly awaited. Errectile impotence was diagnosed in 11 cases [5%] with variable aetiology, and treatment was instituted accordingly
Mazin A. Ismail ,
Insight into male infertility in Bahrain,
Bahrain Med. Bull. 1992;
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