Steps in the investigation and management of low semen volume in the infertile man
An adequate semen volume of ejaculate fluid is required to transport
sperm into the female reproductive tract and allow for fertilization
of the oocyte. Thus, seminal fluid volume is an important
part of the semen analysis done to investigate male infertility. In
this article, we review the anatomy and physiology of ejaculation,
the various etiologies of low-volume ejaculation (artifactual,
structural, functional). We then present a comprehensive algorithm
for the evaluation, diagnosis and treatment of the infertile
man presenting with low semen volume.
Un volume suffisant de liquide séminal dans l’éjaculat est nécessaire
pour transporter les spermatozoïdes dans les voies reproductrices
de la femme et permettre la fécondation de l’ovule.
Ainsi, le volume de liquide séminal est une partie importante de
l’analyse du sperme effectuée afin d’évaluer la fertilité mâle. Dans
notre article, nous passons en revue l’anatomie et la physiologie
de l’éjaculation et les diverses causes (artéfactuelles, structurales
et fonctionnelles) d’un faible volume d’éjaculat. Nous présentons
ensuite un algorithme complet pour l’évaluation, le diagnostic et
le traitement de l’infertilité dans les cas de faible volume de li -
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