Sexual History

Frequency of intercourse and a full history whether full penetration has been achieved or not should be specifically asked.

Personal History

• Smoking
• Alcohol
• Drug addiction
• Testosterone / Steroid injections for body building
• Kind of work / Work place

Past Medical History

• Childhood Mumps (Orchitis) – Secondary testicular atrophy
• TB (Orchitis) – Atrophy
• HT, DM, Psychosis, BA, Epilepsy – Treatment may lead to erectile dysfunction
• STDs – Urethritis, Epididymitis

Past Surgical History

• H/0 Trauma (May lead to Azoospermia)
  1. Type, Age
  2. Surgery, Testis Affected or not
• Orchidectomy / Orchidopexy (H/o Undescended testes)
• Vasectomy (Obstructive Azoospermia)
• Hydrocele / Varicocele/Hernia repair
• Testicular Aspiration or Biopsy

Family History

• Cystic fibrosis mutations
• Y chromosome microdeletions
• Carcinoma – Hereditary inheritance (Non Obstructive Azoospermia)

Examination

Assessing testicular volume ,location , varicocele , collection and the presence of any examination is very important part of Male Infertility Diagnosis.