男子不妊症の治療経験 第1報 : HCG/HMG剤の併用について

Abstract

Clinical experiences of HCG/HMG therapy for 100 cases of idiopathic male sterility were studied. Counts, motility rate of sperms were observed during the therapy. Nineteen cases revealed normal spermatogram (group 1), 31 cases revealed improved but not normal spermatogram (group 2) and 50 cases did not changed in the spermatogram (group 3). Sixteen pregnancies were found, in whom II cases belonged to group 1 and 5 cases belonged to group 2. For serum level of FSH measured before therapy, groups 2 and 3 were significantly higher than group 1, but for serum level of LH no significant differences in each three groups were found. The volumes of bilateral testicles measured before therapy in groups 2 and 3 were significantly smaller than those of group 1. From above findings, for cases of idiopathic male sterility HCG/HMG therapy were thought to be effective and serum level of FSH and volumes of bilateral testicles were thought to be good indicators to know the prognosis offertility.