Letters |

Evaluation of Infertility-Reply

Ronald S. Swerdloff, MD; Stephen P. Boyers, MD
JAMA. 1983;249(16):2175-2176. doi:10.1001/jama.1983.03330400027007.
Text Size: A A A
Published online


In Reply.—  Dr Schwarzstein has raised a number of interesting points in his letter in response to our article, "Evaluation of the Male Partner of an Infertile Couple: An Algorithmic Approach."We are of common mind regarding the importance of a careful history and physical examination. The article focused on laboratory testing, since it was published as part of a series in The Journal entitled TOWARD OPTIMAL LABORATORY USE. The history should, of course, include questions regarding cryptorchidism and genital infections. Physical examination includes careful palpation of the epididymis, vas deferens, and spermatic veins with the Valsalva maneuver, as indicated in several places in the article. We have used the Doppler stethoscope in an attempt to detect subclinical varicoceles with mixed success. Spermatic venography carries considerable expense to the patient and probably should be reserved for those with a high degree of suggestion of nonpalpable varicoceles, ie, increased number of


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.