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. 2021 Jul 16;10(14):3144. doi: 10.3390/jcm10143144

Table 1.

Medical history outline. Adapted from Esteves et al. [11], Clinics 66, 691–700, 2011.

Elements Components
(1) Infertility History
  • Age of partners, length of time the couple has been attempting to conceive

  • Contraceptive methods/duration

  • Previous pregnancy/miscarriage (current partner/partner/another partner)

  • Previous treatments

  • Treatments/evaluations of female partner

(2) Sexual History
  • Potency, libido, lubricant use

  • Ejaculation, timed intercourse, frequency of masturbation

(3) Childhood and Development
  • Cryptorchidism, hernia, testicular trauma, testicular torsion, infection (e.g., mumps)

  • Sexual development, puberty onset

(4) Personal History
  • Systemic diseases (e.g., diabetes, cirrhosis, hypertension)

  • Sexually transmitted diseases, tuberculosis, viral infections, genital and systemic bacterial infections, history of fever

(5) Previous Surgery/Treatment
  • Orchidopexy, herniorrhaphy, orchiectomy (e.g., testicular cancer, torsion)

  • Retroperitoneal and pelvic surgery

  • Other inguinal, scrotal, or perineal surgery

  • Bariatric surgery, bladder neck surgery, transurethral resection of the prostate

(6) Gonadotoxin Exposure
  • Pesticides, alcohol, cocaine, marijuana

  • Medication (e.g., chemotherapy agents, cimetidine, sulfasalazine, nitrofurantoin, allopurinol, colchicine, thiazide, α- and β-blockers, calcium blockers, finasteride)

  • Organic solvents, heavy metals

  • Anabolic steroids, tobacco use

  • High temperatures, electromagnetic energy

  • Radiation (e.g., therapeutic, nuclear power plant workers)

(7) Family History
  • Cystic fibrosis, endocrine diseases

  • Infertility

(8) Current Health Status/Lifestyle
  • Respiratory infection, anosmia

  • Galactorrhea, visual disturbances

  • Obesity, metabolic syndrome