Study of Male Infertility using Ultrasonogaphy

Abstract

Male infertility is complex process and the general notion women are usually responsible for infertility, in reality infertility which often linked to health problems with men; about 40% of conception problems are usually attributed to male. This was observational study conducted in Reproductive Health care center (R HCC) in the period from 2016 to 2018. The main aim of the study was to study male infertility using ultrasound. The sampling includes 150 patient suffering from male infertility with positive ultrasound finding in scrotum , the data collected by data collection sheet which include the several variables; age, type of infertility, semen and hormones the data was analyzed by statistical package for social sciences. The study found that the most affected age of testicular pathology was 36-46 years (41.33%) followed by 26-35 years respectively (34%), the mean age was 36 .43years ±8.50years , The most common pathology detected by ultrasound was extratesticular on left side 41.3% with varicocele is commonest one 22% followed by hydrocele 9.3% in left, mean testicular volume was 16.67± 8.37cm3. The study found that there was significant difference in testicular volume, semen motility, morphology, count, FSH in primary versus secondary infertility patients( p < 0. 05), Significant positive statistical correlation was found between sperm count and testicular volume (r= 0.185,p<0.05) The study concluded that ultrasound was good modality in detect different pathological condition in infertile male, it can assess the size of scrotum, the most common pathological condition cause male infertility was varicocele which occurs more common on left side, mean testicular volume in infertile male was 16.67± 8.37 cm3 , there was significant positive correlation between testicular volume and sperm count and significant negative correlation between FSH and testicular volume in infertile male. The study recommended that further studies should be done with larger sampling including spectral Doppler ultrasound of testicular artery to assess flow in scrotum in infertile versus fertile male.