男子不妊症の臨床統計的観察

Abstract

An analysis of 205 cases of male infertility in our clinic during the period of 1962 to 1966 is presented. 1) Male infertility formed 3.3 per cent of 6, 152 male outpatients in our clinic. 2) Ninty-two per cent of them aged between 20 and 35. 3) 151 of 205 infertile men visited our clinic during their first five years of marriage. 4) No relationship between infertility in the males and their occupation was revealed. 5) Epidemic parotitis and pulmonary tuberculosis were the most frequent diseases in the past history of infertile males. 6) In the majority of infertile males, azoospermia or oligospermia was found. 7) In considerable numbers of azoospermic men, the level of the urinary estrogen was low and gonadotropin was high. 8) In many of the cases seminal vesiculogram showed type 1 or 2 as classified by Ishigami and Mori. 9) In the majority of azoospermic males, testicular biopsy reveled the marked changes such as peritubular fibrosis, spermatogenic arrest, germinal aplasia, disorganization; but these changes were not remarkable in the cases of oligospermia. 10) Endocrine therapy, administration of gonadotropic and gonadal hormone, was done on these infertile males.