Recurrent haemospermia--underlying urogenital anomalies and efficacy of imaging procedures.

Recurrent haemospermia is often regarded as "essential". Following routine diagnostic procedures, we found an associated factor in 54 of 72 patients (75%). With one exception (prostatic carcinoma), the benign character of the disease was confirmed. Urogenital infection was the most frequent concomitant finding (50%); in 26 men chronic prostatis was diagnosed. Other disorders such as hypertension and coagulation disorders played a minor role. Additional investigation of the prostate gland and seminal vesicles by transrectal prostatic ultrasonography revealed persistent asymmetry of the latter glands as the main finding in 20 men (28%). In every case seminal vesicle carcinoma was excluded; haemorrhage due to cystic distension, inflammatory lesions or ductal obstruction was associated in all cases with congenital abnormalities, chronic urogenital infection, coagulation disorders or hypertension.

[Retrospective evaluation of the findings in male fertility disorders with special reference to spermiograms and hormone analyses]. / Retrospektive Befundauswertung bei virilen Fertilitätsstörungen unter besonderer Berücksichtigung von Spermiogrammen und Hormonanalysen.

736 ejaculates from 384 patients in the andrological outpatient clinic in Giessen were classified in fertile, subfertile and infertile Groups. Regarding volume, pH-value and fructose content of the ejaculate no differences were found among the three groups. Important for the classification is sperm count/ml and the progressive motility. Additional Hormone analyses showed a negative correlation between sperm count and FSH-Values. Disturbances in spermiogenesis are often connected with high LH-Values.

[Catamnestic studies in sub- and infertile couples]. / Katamnestische Erhebungen bei sub- und infertilen Ehepaaren.

310 infertile couples have been studied retrospectively over a 15-year period from the andrological and gynaecological view. Teratozoospermia in men and tubal disturbances in women respectively turned out to be the most common causes. Isolated male infertility was found in 33%, that of the female partner in 19%. Both partners were involved in 40%. 93 women (30%) finally gave birth to a child after successful treatment.