Chapter 47: Male Infertility: Evaluation and Treatment

Hilgers TW

Male Fertility Male Factor Treatment

Chapter 47: Male Infertility: Evaluation and Treatment

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 635-642, 2004

RRM Academy Synopsis

NaProTECHNOLOGY treats male infertility with medical and surgical care

The NaProTECHNOLOGY textbook chapter treats male infertility through diagnosis, medicine and surgery. The author states that strict sperm shape criteria were set to find better candidates for IVF. Four pregnancies in couples with severe oligospermia (very low sperm counts) followed intercourse timed by the Creighton Model FertilityCare System.

Key Findings

The most common diagnostic categories in evaluating the male are varicocele, idiopathic oligospermia (low sperm count of unknown cause) and obstruction of the vas deferens.
In matched pairs, a perforated collection device used during intercourse produced no statistically significant differences from analyses done elsewhere in volume, viscosity, motility, morphology or sperm counts.
The chapter cites intrauterine insemination pregnancy rates of 0.0 to 9.0 percent in natural cycles for male factor infertility and an overall completed ICSI pregnancy rate of 15 to 19 percent.
Four pregnancies are presented to show that the Creighton Model FertilityCare System can help couples achieve pregnancy even when severe oligospermia is present.

RRM Context

Restorative reproductive medicine evaluates both partners and seeks the cause of low fertility before choosing a therapy. In NaProTECHNOLOGY, the man has a physical exam, a semen analysis and a review of his medicines. A condition found can receive medical or surgical care. Charting shows the time of fertility, so the couple can time intercourse in each cycle. The man's evaluation can give the couple a fuller view of their fertility.

Our editorial summary of this paper, not the article's abstract.

Abstract

This chapter covers the evaluation and treatment of male infertility, starting from the position that an infertility evaluation must involve the husband as well as the wife. Hilgers describes collecting seminal fluid during intercourse with a perforated seminal collection device and reports a Pope Paul VI Institute comparison that found no statistically significant differences from same-patient analyses performed elsewhere. The chapter reports that 226 (42.0%) of 538 men evaluated at the Institute were normospermic, and Hilgers criticizes the Kruger strict morphology criteria as established to determine who would be a better candidate for in vitro fertilization. The chapter reviews medical treatments, including clomiphene citrate and HCG, and presents cases in which couples with severe oligospermia conceived with fertility-focused intercourse timed by the CrMS.

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NaProTechnology diagnoses and treats the underlying conditions driving infertility, menstrual disorders, and early pregnancy loss. This guide covers how the method works, published outcomes data, how to find a qualified provider, and what to expect on cost and insurance.

18 min read

Topics

Male Fertility › Male Factor Treatment › Medical Management · Restorative Reproductive Medicine › NaProTechnology › Protocols and Framework

Thomas W Hilgers

Tom Hilgers, T Hilgers

Hilgers et al. 2004, Hilgers 2004

Chapter 47: Male Infertility: Evaluation and Treatment

NaProTECHNOLOGY treats male infertility with medical and surgical care

Key Findings

RRM Context

Abstract

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Topics

By this author

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