Insight into male infertility in Bahrain

Abstract EN

170 male patients attending the Urology clinic at Bahrain Defence Force Hospital were investigated for infertility.

In all, 61 cases (36%) had azospermia, most commonly caused by idiopathic hyperprolactinaemia.

Serum antisperm antibodies were detected in 7 cases, 5 of whom were treated with Frednisolone with moderate success.

A testicular biopsy was performed on 30 infertile men with azoospermia who exhibited normal hor-' Histologic^ examination revealed nor- mal spermatogenesis in 4 cases indicating a possible extra-testicular seminal pathway obstruction, subse-quently confirmed on scrotal exploration.

Various medications including Clomiphene eit-rate, androgens and steroids were used in treating various forms of infertility with encouraging results.39 infertile [Hales whose wives were pronounced gynaecologically normal were referred to the newly established assisted fertility programme which utilises the gamete intra-fallopiam tube transfer (GIFT) tech-nique.

The results are eagerly awaited.

Errectile impotence was diagnosed in 11 cases (5%) with variable aetiology, and treatment was in-stituted accordingly.