[The present status of the treatment of male factors of infertility in barren couples with special reference to co-operation between andrologists and gynaecologists (author's transl)]

Abstract

The interests of a barren couple are seen as the desire to obtain their own child with medical aid irrespective of the methodology of medical aid as long as there is success. At times quarrels over competency are an impediment to a coordinated treatment of the barren couple. At times treatment is thus precluded. A practical co-operation between andrologists and gynaecologists should be possible. It is important that the exchange of information is improved on the methods of investigation, on the interpretation of the tests results and on the plan of management for each partner of the infertile couple. Treatment of male infertility is not as hopeless as it is still portrayed. However one should not ask for the impossible of the treatment of male infertility since the most optimal seminal analysis result is useless in the presence of a monophysic menstrual cycle in the partner. The andrologist thrives for an improved differential diagnosis in order to select male patients who require treatment and in order to treat these more selectively. A single preparation for the treatment of all cases of male infertility does not exist just as much as a single preparation for the treatment of all menstrual anomalies in women does not exist.