ABSTRACT
Although the modern techniques of assisted reproduction play an important role in the treatment of severe male fertility disorders, these methods cannot be applied in every infertile couple. Based on exact diagnostic measures, conservative medical treatment modalities can be administered alone or, on occasion, in combination with surgical procedures and the simplest form of artificial reproduction, namely intrauterine insemination. Before initiating any treatment, the correct diagnosis has to be established. Moreover, it should be considered that, frequently, several factors contribute to disturbed male fertility, and different degrees of severity of male fertility disorders may exist. In some patients, a harmful influence can be eradicated and spermatogenesis can be restored. In others, the damage may be irreparable due to the severity of the condition. In light of these considerations, current treatment options for male fertility disorders are discussed in this chapter, taking into account that recommendations for medical treatment for male infertility are indicated in specific conditions, but in others their use has been predominantly empirical.
