Azoospermia after treatment with clomiphene citrate in patients with oligospermia

OBJECTIVE: To describe three cases of azoospermia in patients with oligospermia after clomiphene citrate (CC) intake.

DESIGN: Case report.

SETTING(S): Academic medical center.

PATIENT(S): Three patients with oligospermia.

INTERVENTION(S): Three oligospermic men used CC, resulting in azoospermia.

MAIN OUTCOME MEASURE(S): Semen analysis after CC use and after discontinuation of CC.

RESULT(S): Three patients were sent to our clinic for investigation of their azoospermia after use of CC. They had severe oligozoospermia (sperm concentrations of 3.4, 2.8, and 4.1 x 10(6)/mL, respectively) before treatment with CC. These patients were re-evaluated with two new semen analyses, showing azoospermia. After 3 months without use of the drug, the mean sperm concentration was 2.5 +/- 1.1 x 10(6)/mL.

CONCLUSION(S): The benefits of empiric treatment with CC must be balanced with the possible undesirable effects, such as azoospermia.

Medienart:

E-Artikel

Erscheinungsjahr:

2008

Erschienen:

2008

Enthalten in:

Zur Gesamtaufnahme - volume:90

Enthalten in:

Fertility and sterility - 90(2008), 5 vom: 01. Nov., Seite 2014.e11-2

Sprache:

Englisch

Beteiligte Personen:

Pasqualotto, Fabio Firmbach [VerfasserIn]
Fonseca, Gabriela Poglia [VerfasserIn]
Pasqualotto, Eleonora Bedin [VerfasserIn]

Links:

Volltext

Themen:

1HRS458QU2
Case Reports
Clomiphene
Fertility Agents, Male
Journal Article

Anmerkungen:

Date Completed 10.12.2008

Date Revised 21.11.2013

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.fertnstert.2008.03.036

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM180226487