Male infertility
Chapter 14:Diseases of the genitourinary system
ICD-10 N46 is a billable code used to indicate a diagnosis of male infertility.
Male infertility is defined as the inability of a male to achieve pregnancy in a fertile female after one year of regular unprotected sexual intercourse. This condition can stem from a variety of factors, including hormonal imbalances, anatomical abnormalities, and genetic issues. Common causes include disorders of the testes, such as varicocele, hydrocele, and orchitis, which can affect sperm production and quality. Additionally, penile disorders may hinder sexual function, further complicating the ability to conceive. Male infertility can also be influenced by lifestyle factors, such as obesity, smoking, and exposure to environmental toxins. Diagnosis typically involves a thorough medical history, physical examination, semen analysis, and possibly hormonal testing. Treatment options vary based on the underlying cause and may include lifestyle modifications, medication, or assisted reproductive technologies. Understanding the multifactorial nature of male infertility is crucial for effective management and treatment.
Detailed history of infertility, physical examination findings, semen analysis results, and any imaging studies.
Evaluation of male infertility, management of varicocele, and treatment of hormonal imbalances.
Ensure all relevant tests and findings are documented to support the diagnosis of male infertility.
Hormonal profiles, including testosterone levels, and any endocrine disorders affecting fertility.
Assessment of hormonal causes of infertility and management of endocrine disorders.
Document any hormonal treatments and their effects on fertility.
Used to evaluate male infertility.
Document the reason for the semen analysis and the results.
Urologists should ensure that all findings are clearly documented.
Primary male infertility refers to the inability to conceive after one year of trying without prior successful pregnancies, while secondary male infertility occurs in men who have fathered at least one child but are now unable to conceive.
