Clinical andrology

Andrology is still not recognized as a surgical specialty even in the USA and seminars and workshops that include clinical rather than scientific andrology are few. Formal teaching in andrology is only occasionally included in the routine training of either the gynaecologists or even the urologists. The reliance on a wide variety of tests on semen as a means of diagnosing male infertility seems to have elevated the spermatozoon to the status of a ‘cellular patient’. In many clinics, the diagnosis of male infertility relies solely upon the findings in a semen analysis. These semen analyses are usually interpreted by a laboratory scientist who knows little or nothing of the clinical history or of the clinical findings.


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