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Ekskretorno-toxic barreness is often connected with disease of genitals in the past or at the moment of the reference. At survey latent forms of inflammatory processes in sexual system or other bodies are almost always found out.

At 695 surveyed by us with ekskretorno-toxic barreness it is established 12 basic diseases preceding and promoting infringement of fruitfulness): at 550 prostatitis, including at 78 - the localised prostatitis, at 109 - prostatovezikulit, at 248 - uretroprostatit, at 115 - uretroprostatovezikulit, at 60 - illnesses semjavynosjashchih ways, including at 21-defferentit, at 26 - epididimit, at 13 - uretrit.

Diseases of internal bodies were observed at 53 patients, including at 19 - a chronic pyelonephritis, at 18 - chronic proktosigmoidit, at 16 - chronic holetsistoangioholit. Last painful conditions as a rule, led to a pathology of internal genitals (predstatelnoj glands, jaichek, seed vials).

The Considered form of barreness can be shown by infringement of impellent function snermatozoonov, increase in number of their pathological forms, decrease in their concentration in ejakuljate.

In the mechanism of infringement of fruitfulness at mentioned above previous diseases 5 factors have major importance: microflora, an intoxication, hormonal insufficiency, immunologicheskie and biochemical changes.

Opinions on action of infectious agents on spermatozoony while are inconsistent. One authors (Krause, Weider, 1982; Linossier and soavt., 1982, etc.) State doubt interrelation presence between patospermiej and detection of bacteria in ejakuljate. Other authors (Del Porto and soavt., 1975; Linossier and soavt., 1982) have found out immobilizirujushchee action on spermatozoony bacteria Escherichia coli and have not established negative action on spermatozoony other infectious agents. The third authors (Swenson and soavt., 1980) have not revealed differences in vydel jae-pave pathogenic microflora from sperm of men suffering by barreness, before genitals ill and not ill by inflammatory diseases, however in vitro have established spermatotsidnoe action zelenjashchego and gemoliticheskogo a streptococcus, an intestinal stick and proteja. On the basis of these data authors have come to conclusion, that if in the presence of barreness from sperm the named kinds of microflora it with bolshej probability testifies to their role in geneze barrenesses are allocated.