the Basic diagnostic problem - to receive a trustworthy information about etiologicheskih and pathogenetic factors of infringements of fruitfulness that is carried out stage by stage.

the First stage: are found out etiologicheskie factors which are identified with previous pathological processes more often. On our supervision, it is accurately enough traced polietiologichnost barrenesses at men. In particular, at 507 patients with sekretorno-en-dokrinnym barreness its development was preceded by following pathological processes: at 83 patients - varikotsele; at 87 - an epidemic parotitis; at 79 - chromosomal-genetic gipogonadnye conditions; at 72 - different hyper-and gipogonadotropnye, gipogonadnye conditions of a known and obscure origin; at 69-traumas and operative interventions on genitals and pahovyh kanaltsah; at 54 - hyperthermal disease processes at children's age; at 22 - bilateral kriptorhizm; at 41 - obscure predecessors. As a whole sekretorno-epdokriynoe barreness because of primary damage spermatogennogo epitelija it is noted at 394 (77,7%) from 507 patients.

the Second stage: the condition of the genital bodies, regulating systems, changes spermogrammy is defined, changes endokrinnoj functions of the bodies participating in a metabolism of sexual hormones (a liver, kidneys, predstatelnaja gland) are in addition found out.

the Third stage: comparison of the received data with a view of an establishment conducting both additional etiologicheskih and pathogenetic factors with the subsequent substantiation of the diagnosis and the treatment plan. The diagnosis is formulated by a pathogenetic principle.

Researches with a view of barreness diagnostics are spent by a principle from simple to difficult with prime use of painless simple methods. If the received information does not allow to find out essence of a pathology and to define the basic indicators for a substantiation of the plan of treatment more difficult methods of research are applied. Applied methods of diagnostics can be divided on clinical and special.

Clinical researches at infringement of reproductive function, no less than at other diseases of the person, include finding-out of subjective and objective clinical data about causal factors and preconditions to fruitfulness infringement, a condition of the genital and other bodies having the direct or indirect relation to formation and display of reproductive function. Clinical inspection includes gathering of the anamnesis and objective research.

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