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An Algorithmic Approach

Ronald S. Swerdloff, MD; Stephen P. Boyers, MD

JAMA. 1982;247(17):2418-2422.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE FIRST and most important rule in the evaluation of infertility is to consider the problem from the standpoint of both members of the couple. Too often a woman is extensively investigated only to discover later that her husband is azoospermic, and, likewise, a man undergoes lengthy treatment for oligospermia while his wife has undiagnosed tubal obstruction or has anovulatory cycles. The evaluation of both the man and woman should proceed in parallel until a significant problem is uncovered. Ideal management is attained in a clinical setting where the couple is seen by a team of physicians. In the usual case, where the man is under the care of either an endocrinologist or a urologist and the woman is under the care of a gynecologist, communication between physicians must be ongoing.

The male partner should undergo a complete history and physical examination with special emphasis on the reproductive system. The . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Medicine and Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, Calif.

Footnotes
Reprint requests to the Division of Endocrinology, A-17 Annex, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509 (Dr Swerdloff).

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