1. Inflammatory
2. Congential or Genetic
3. Traumatic
4. Neoplastic
5. Degenerative
6. Vascular
7. Metabolic
8. Allergic or Immunity
9. Poisoning
10. Latrogenic

Surgical Causes

Surgical fault in young age around testis - "CRYPTORCHDISM"
Tortion of Testis
Pelvic Surgery
Prostatic Surgery

Quality of Semen
Count

• 60 to 120 million normal
• 20 to 50 million - Sub-normal
• < 20 milllion - abnormal
  

Motility: 20 microns / second
Morphology: double head tailess are normal

Low Sperm count and less motility

• Highly thick semen
• Infection of semen
• Cervical fluid in female infected
• Alcohol damages liver
• Tight underwears
• Hot bath, Sauna Bath
• High temperature - boilers, Welding engine rooms
• Radiation exposure
• Pesticides
• Tobacco Cigarettes leads to spasm of tetsicular arteries

Low levels of Testosterone

KALLMAN's Syndrome
A congenial disease of Hypothalamus-short- left palate loss of smell - low levels pf FSH - LH - Prolactin - Testosterone

FSH

LH

Prolactin

Testosterone

Hyper PROLACTENIMIA

Serum Prolactin
Milky Breast in male
Tt: Tab PROCTINAL 1.25 mg (Bronocryptine)
1st to 4 days - 1od evening daily
5th t0 8th days - 1Bd
9th to 13th days - 1.25ml morning and 2.5mg in the evening
From 14th day - 2.5mg-1Bd for 6 months

KJLIEN FILTERS Syndrome

A chromosome disorder - lean effiminate-bean shaped Testes

FSH

LH

FSH-LH hormones increased levels and low levels of testoesterone

Testoesterone

SYSTEMIC INFECTIONS

GENITAL TUBERCLOSIS
FILARISIS
LEPROSY
MUMPS
SCHISTOSOMIASIS
Sexually Transmitted Diseases like Syphihis, Gonorrohea, Chlamydia
METABOLIC Disease
Diabetes - Symphathetic Nerve Damage
Chronic Renal failure

Sexual Disorders

Impotency
Premeture Ejaculation
Retrograde Ejaculation

Abnormal Chromosomes

Abnormal chromosomes of man leads to abnormal embereyo leads to abortion

Drugs leads to Infertility

Sedative Drugs
Anti-Depressive Drugs
H ypertensive Drugs
Gastric Ulcer Drugs
Cardiac Drugs

Untreatable causes of infertility

Absence of Vas-Seminal vesicle-Epididmis
Testicular atrophy
Germinal cell Aplasia-or meturation arrest
Immunologically conditioned infertility