Coital Abnormalities

1. Timely intercourse
2. Organic Impotence
   a. Fractured Pelvis
   b. Spinal Cord Damage
   c. Post Periapism
3. Absence of Ejaculate
   a. Ejaculatory failure
   b. Retrograde ejaculation
     1) Bladder neck damage
   2) Sympathetic nerve damage

Obstruction

Congential absence of vas
Seminal Vesicle Epididimis

Infection

1. Gonorhoea Urethrites
2. Chlamydial Urethrites
3. Urogenital Tuberclosis
4. Lepromatons form of leprosy
5. Mumps in post pubertal males
6. Filariasis
7. Schisotosomiasis
8. Nitrofurnatoindrugs - depress spermatogenesis

Gonadotrophin Defeciency
Hypo Gonodo Trophic - Hypogonadism

1. Congential: KALLMAN'S
   Syndrome
   Delayed puberty
   Short stature
   Azoospermia
   FSH
   LH
2. Acquired
   Pituotary a supra cellar turuour
   FSH
   LH
   

HYPER PROLACTINAEMIA

Impotence
Galactorrea
Infertility
Testicular size small
Oligopermia

Prolactin

KLINE FELTERS'S Syndrome

Genetic disorder
Infertility
Azospermia
Impotence
Additional 'X' chromosome [47XXY] in Buccal smear
FSH
LH

Testosterone

GERMINAC CELL APLASIA or GERMINAL CELL ARREST (Testicular abnormality)
Azoospermia
normal sex function
FSH
LH

Testosterone

CRYPTORCHIDISM

Undescend Testis
Azoospermia

FSH

Other Causes

1. Chronic Renal Failure
2. Drugs - Anticancer
3. Radiation
4. Exposure to pesticides
5. Excessive alcohol
6. Cigarette smoking

Hyper Gonado Trophic - High Functions of Hypothalamus and Petuotary and low functions Testes

1. Klinfilters Syndrome [47XXY male]
2. Anorchism
3. Male Turners's Syndrome [45-X0 female]
4. Orchitis (Mumps, Gonorrhoea)
5. Sequelae of irradiation
6. Myotonic dystrophy
7. Drugs
8. Femilial Cerbellar Ataxia
9. Spinal cord injuries

Hypo Gonadotrophic Hypo Gonadism

Low functions of Hypothalamus and pituotary and Low functions of Testes

1. Kallman's Syndrome
2. Isolated FSH defeciency
3. Isolated LH defeciency-ferlick Eunuck syndrome
4. Hypo pituaterism
5. Haemochromotosis
6. Supra cellar tumour
7. Prader willi syndrome
8. delayed puberty