Author: Mehta Jayant G., Woodward Bryan

Male infertility is emerging as a major factor affecting natural conception. Assisted reproductive technology (ART) has helped couples with male infertility to achieve a pregnancy, but only after a careful analysis of the sperm physiology. The book begins with an introduction to the anatomy and physiology of the male and spermatogenesis, then the importance of a standardized WHO-recommended semen analysis. Whilst a basic semen analysis provides basic information, that addresses further diagnostic tests that might help to establish the functionality of sperm from a semen sample. The role of the fertility nurse in a clinical setting offering intrauterine insemination (IUI) is described in great detail, allowing practicing nurses to perfect their techniques. Preselection of sperm for sex can be used successfully for both the prevention of certain sex-linked genetic disease and for sex selection for social reasons, such as balancing out the sex ratio of offspring. The book also depicts the significance of technological advances in the treatment of male infertility is highlighted, including sperm preparation for insemination, the importance of cryopreservation, techniques for obtaining sperm after retrograde ejaculation and the preparation of sperm from men who are infected with blood-borne viruses, HIV and cancer.