RT Book, Section
A1 Hogge, W. Allen
A1 Rajkovic, Aleksandar
SR Print(0)
ID 1115993321
T1 Genetics of Infertility and Pregnancy Loss
T2 Practical Genetics for the Ob-Gyn
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071797214
LK obgyn.mhmedical.com/content.aspx?aid=1115993321
RD 2024/04/23
AB Case  1:  John  is  a  35-year-old  executive  of  a  manufacturing  company  who  presented  with  infertility.  He  and  his  wife  have  had  unprotected  intercourse  over  the  past  18  months  and  have  not  been  able  to  conceive.  John  has  known  that  he  had  small  testes  since  college  following  a  regular  physical  exam.  He  denies  any  childhood  problems  or  developmental  delay.  He  does  not  recollect  being  different  from  other  boys  around  puberty.  He  did  grow  rapidly,  with  a  height  of  5  ft  in  4th  grade,  and  6  ft  in  6th  grade.  He  is  currently  6  ft  5  inches  tall.  He  has  noticed  difficulty  with  erection  and  libido  since  age  30  and  thought  it  was  normal.  He  currently  has  a  low  libido  and  at  times  difficulty  in  achieving  orgasm.  His  semen  analysis  2  months  ago  revealed  azoospermia.  What  additional  testing  would  you  recommend  for  John?