A case of male infertility

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Presentation transcript:

A case of male infertility III MEDICAL UNIT PROF.Dr.M.NATARAJAN M.D ASST PROF:Dr.P.S.ARULRAJAMURUGAN M.D.,D.M Dr.B.PALANIKUMAR M.D PG:Dr.S.Sugadev

A 25 yr old male has been evaluated for primary infertility Farmer by occupation No h/o loss of libido No h/o erectile dysfunction No history suggestive of any other systemic illness

Past history No h/o –TB -MUMPS -T2DM -SHT -IRRADIATION PERSONAL HISTORY: occasional smoker and alcoholic

General examination conscious oriented afebrile No pallor/icterus/cyanosis/clubbing/pedal edema/ gen.lymphadenopathy/ Secondary sexual characters normal Testis – 3*2*1cm, sensation normal Vitals PR- 82/min BP- 130/90 mm Hg SpO2 – 96% in room air RR -20/min

systemic examination CVS: S1 S2 +, no murmur RS: NVBS+, BAE +, No added sounds ABDOMEN: Soft, not tender, no organomegaly CNS: No FND

investigations Hb % 14.8g% TC 7,700 DC P64/L30/M6 ESR 16mm in 1 hr Platelet count 3.14 l/mm3 PCV 38 RBS 118 mg% Bl. urea 26 mg% Sr. creatinine 0.9g%

HORMONE ASSAY Sr.FSH -33.94 microIU/L (N- 1.27-19.26) Sr. LH - 7.89 microIU/L (N-1.24-8.62) Sr.FSH -33.94 microIU/L (N- 1.27-19.26) Sr.PROLACTIN -7.81ng/ml (N-2.64-13.13) Sr. Total testosterone-3.82ng/ml (N-1.75-7.81)

USG SCROTUM: NORMAL STUDY BUCCAL SMEAR : BARR BODY not detected

Diagnostic possibilities ?

Thank you