Oligospermia due to drug therapy
ICD-10 N46.121 is a billable code used to indicate a diagnosis of oligospermia due to drug therapy.
Oligospermia, defined as a lower than normal sperm count in semen, can be a significant factor in male infertility. When oligospermia is attributed to drug therapy, it indicates that certain medications have adversely affected sperm production or quality. Common drugs associated with this condition include anabolic steroids, certain antibiotics, and medications for hypertension or cancer. The pathophysiology often involves hormonal imbalances or direct toxicity to the testes, leading to impaired spermatogenesis. Clinicians must consider the patient's medication history, including over-the-counter drugs and supplements, when diagnosing and managing oligospermia. Treatment may involve discontinuation or adjustment of the offending medication, lifestyle modifications, and possibly assisted reproductive technologies if natural conception is not achievable. Understanding the interplay between drug therapy and male reproductive health is crucial for effective management and counseling of affected patients.
Detailed patient history, including medication use, and results from semen analysis.
Evaluation of male infertility, management of testicular disorders, and treatment of orchitis.
Urologists should ensure that all relevant medications are documented, and the impact on fertility is discussed with the patient.
Hormonal assessments and detailed medication history.
Management of hormonal imbalances affecting fertility and assessment of drug-induced side effects.
Endocrinologists must correlate hormonal levels with oligospermia and consider alternative therapies.
Used to evaluate sperm count in patients suspected of oligospermia.
Results of the semen analysis must be documented in the patient's medical record.
Urologists and reproductive endocrinologists should ensure that the analysis is comprehensive.
Common medications include anabolic steroids, certain antihypertensives, and some antibiotics. It's important to review the patient's complete medication history to identify potential causes.
