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Recent decades have seen significant advances both in the diagnosis and treatment of andrological and gynaecological disorders.
There was a time when couples who could not have children had no alternative but to adopt, but with modern methods of treatment many childless couples can now be helped to start a family of their own.
The advances in andrology are due not only to improvements in the interpretation of spermatological findings, but also to a fuller understanding of biochemical, immunological, endocrinological, cytological, histomorphological, and psychological factors.
Thus we have learned to assess more precisely the way in which fertility is affected by diseases and their therapy, by self-medication, drugs and environmental pollution. Yet despite these advances, not all those who seek medical advice can be helped. Three fundamental causes of infertility have long been recognized: irreparable congenital or traumatic damage to the testes or the regulatory mechanism of the hypothalamic- pituitary-testicular axis, disorders not yet identifiable with present diagnostic methods and irresolvable partner conflicts.
A knowledge of these factors obviously influences the therapy chosen. The better our basic understanding of the problems involved, the better are our chances of knowing when a particular case of impaired fertility is likely to respond to treatment. This is a preview of subscription content, log in via an institution to check access. Institutional subscriptions. Unable to display preview. Download preview PDF. Amelar RD, Schoenfeld C Sperm motility.