oa Central African Journal of Medicine - Aetiological factors of male infertility in Zimbabwe

Volume 30, Issue 12
  • ISSN : 0008-9176



A study has been carried out in 531 men on aetiological factors of male infertility in Zimbabwe. The most common diagnosed causes of infertility were endocrine dysfunction, primary testicular disorders, ductal obstruction and impotence. Cryptorchidism was present in 3,4% (19) of the study patients, being either unilateral or bilateral. This condition which is correctable by gonadotrophins and surgery before the age of nine is still seen in a large number of Zimbabwean men in the reproductive age group. Other factors associated with male infertility in the study included parasitic infections like bilharzia and bacterial infection. Testicular biopsy was found to be an important diagnostic investigation in cases of severe oligozoospermia and azoospermia. The prevalence of varicocele (1.1 %) was less common that has been reported in studies elsewhere, (2-39%). The problems found in the andrology clinic were a lack of support of the clinic by urologists who are scarce in Zimbabe and the inavailability of various medications needed for male infertility.

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