不育症对个人和家庭都是令人懊丧的事。不育夫妇中原发不育症达15%,其中男性有明显异常的占50%,本文就男性不育症的诊断和治疗作一概要的叙述。一、男性不育症的诊断1.病史:不育症病人的诊断必须详细询问病史。目前临床实践中对不育症病人的病史询问往往过于简单。全身性疾病和药物均可影响精子发生和引起性功能障碍。为叙述方便起见,病史中的重要方面列表如下(表1)采取病史时应考虑到精子成熟约需三个月,因此三个月前的药物使用、发热、病毒性疾病等均可影响到精子质量。性欲史中,应 Infertility can be frustrating for both individuals and families. Infertile couples in primary infertility up to 15%, of which men have significant abnormalities accounted for 50% of this male infertility diagnosis and treatment for a brief account. First, the diagnosis of male infertility 1. History: The diagnosis of infertility patients must ask in detail about the history. In clinical practice, inquiries about the history of infertility patients are often too simple. Systemic diseases and medications can affect spermatogenesis and cause sexual dysfunction. For the sake of narrative convenience, a list of important aspects of medical history is given below (Table 1) Taking a medical history should take into account that sperm maturation takes about three months. Therefore, drug use, fever and viral diseases three months ago can affect sperm quality. Sex history, should