Table 1.

Infertility History

History of Infertility Medical History Gonadotoxins
Duration

Prior pregnancies

Present partner

Another partner

Previous treatments

Evaluation and treatment of wife
Systemic illness (i.e., diabetes mellitus,

multiple sclerosis

Previous/current therapy
Chemicals (pesticides)

Drugs (chemotherapeutic, cimetidine,

sulfasalazine, nitrofurantoin, alchohol

marijuana, androgenic steroids)

Thermal exposure

Radiation

Smoking
Sexual History Surgical History Family History
Potency

Lubricants

Timing of intercourse

Frequency of intercourse

Frequency of masturbation
Orchiectomy (testis cancer, torsion)

Retroperitoneal injury

Pelvic injury

Pelvic, inguinal, or scrotal surgery

Herniorrhaphy

Y-V plasty, transurethral resection of the

prostate
Cystic fibrosis

Androgen receptor deficiency

Infertile first-degree relatives
Childhood & Development Infections Review of Systems
GU congenital anomalies

Undescended testes, orchiopexy

Herniorrhaphy

Y-V plasty of bladder

Testicular torsion

Testicular trauma

Onset of puberty
Viral, febrile

Mumps orchitis

Venereal

Tuberculosis, smallpox (rare)
Respiratory infections

Anosmia

Galactorrhea

Impaired visual fields

Modified from Sigman, Lipshultz, L.I., and Howards, S.S.: Evaluation of the subfertile male. In: Infertility in the Male, 3rd edition. Edited by L.I. Lipshultz and S.S. Howards. St.Louis: Mosby-Year Book, 1997, p.174.

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