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Male Infertility: The Clinical Aspects of Evaluation and Management

Abstract

At a time when limiting family size has become of national interest, increasing numbers of married couples are moving in a different direction – to overcome infertility and conceive children. Reasonably reliable statistics indicate that approximately 3.5 million couples, or nearly 15% of those of childrearing age are subfertile. If one adds the cases of secondary infertility, in which a pregnancy or a miscarriage has already occurred in the marriage but is followed by years of difficulty conceiving another child, the magnitude of the infertility problem is indeed impressive. At the personal level, involuntary childless couples may suffer doubts about their own sexuality and are often caught in intense emotional, family, and societal pressures emanating from their inability to conceive

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