Open AccessSchistosomiasis-induced male infertility
Author(s) -
Suresh Kini,
Nawal Dayoub,
Asif Raja,
Sue Pickering,
J. Thong
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.01.2009.1481
Subject(s) - medicine , azoospermia , schistosomiasis , infertility , gynecology , male infertility , intracytoplasmic sperm injection , testicular sperm extraction , reproductive medicine , libido , obstetrics , pregnancy , helminths , immunology , biology , genetics
Azoospermia is a rare, irreversible complication in the UK resulting from heavy infection of schistosomiasis of the male genital tract. Adequate anti-bilharzial treatment and close follow-up with urological assessments should reduce the risk of chronic ill health. This patient contracted schistosomiasis following swimming in lakes in Uganda, Africa, which resulted in azoospermia and reversible loss of libido. The couple underwent treatment at our assisted conception programme with testicular sperm extraction and intracytoplasmic sperm injection (ICSI). The female partner conceived in her second stimulated ICSI cycle and had a spontaneous vaginal delivery at term.