Clinical, genetic, biochemical, and testicular biopsy findings among 1,213 men evaluated for infertility  Inge Ahlmann Olesen, M.D., Ph.D., Anna-Maria.

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Clinical, genetic, biochemical, and testicular biopsy findings among 1,213 men evaluated for infertility  Inge Ahlmann Olesen, M.D., Ph.D., Anna-Maria Andersson, Ph.D., Lise Aksglaede, M.D., Ph.D., Niels Erik Skakkebaek, M.D., D.M.Sc., Ewa Rajpert–de Meyts, M.D., D.M.Sc., Niels Joergensen, M.D., Ph.D., Anders Juul, M.D., D.M.Sc.  Fertility and Sterility  Volume 107, Issue 1, Pages 74-82.e7 (January 2017) DOI: 10.1016/j.fertnstert.2016.09.015 Copyright © 2016 Terms and Conditions

Figure 1 Distribution of chromosome and genetic aberrations according to sperm concentrations in the entire study population (A) and in the subgroup of infertile men with a known chromosome or genetic aberration (B). Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions

Figure 2 Serum (A–D) testosterone and (E–H) calculated free testosterone plotted against LH in two-dimensional charts stratified by sperm concentration in four groups: (A, E) >40, (B, F) >15–40, (C, G) >5–15, and (D, H) 0–5 million/mL . Data points represent 432 idiopathic infertile men (blue circles), and 147 infertile men with additional testicular dysgenesis syndrome symptoms (red triangles). The lines in the graph represent 2.5 percentile for testosterone and cFT and 97.5 percentile for LH. Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions

Supplemental Figure 1 Reproductive disorders or factors influencing male fertility. In some patients more than one factor or disease occurred, and these conditions may therefore be represented in all categories except for idiopathic infertility and testicular dysgenesis syndrome (TDS) only, as indicated. The most frequent findings are illustrated in the following order: all “idiopathic infertile” men, followed by “TDS symptoms only,” “TDS symptoms and chromosome and/or genetic aberrations,” “Chromosome and/or genetic aberrations,” “varicocele grade 2–3,” “varicocele grade 2–3 and current use of medical therapy likely to affect fertility,” “current use of medical therapy likely to affect fertility,” and “previous sexually transmitted disease.” The remaining are categorized as “others” (*nongonadal cancer, previously treated; non-STD epididymitis or orchitis, previous; parotitis including orchitis; ejaculatory dysfunction, nondiabetic; diabetes mellitus; testicular torsion, previous; orchiectomy, nonmalignant cause; hypogonadotrophic hypogonadism, nonanabolic steroid abuse; anabolic steroids abuse). **Chlamydia and/or gonorrhoea. Details and percentages are described in Table 2. Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions

Supplemental Figure 2 (A) Serum T, (B) cFT, (C) SHBG, (D) LH, (E) inhibin B, and (F) FSH according to age in 432 idiopathic infertile men. Patients with body mass index >30 kg/m2 are indicated with red triangles. Lines represent mean and 2.5th and 97.5th percentiles. Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions

Supplemental Figure 3 Serum inhibin B plotted against FSH in a two-dimensional reference chart stratified by sperm concentration (A) in the entire study population and (B) in a subgroup of the patients with azoospermia stratified by diagnostic testicular biopsy. Lines represent fertile (dashed) and normal (solid) ranges and limits of detection (dashed-dotted) for FSH and inhibin B. Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions

Supplemental Figure 4 Relative change in levels of (A) serum T, LH, and T/LH and (B) calculated free testosterone (cFT), LH, and cFT/LH in various categories of sperm concentration compared with the highest category of >40 million/mL. Fertility and Sterility 2017 107, 74-82.e7DOI: (10.1016/j.fertnstert.2016.09.015) Copyright © 2016 Terms and Conditions