On the basis of our own supervision and literature data (And. M.Porudominsky, 1968; I.F.Junda, 1981; V.I.Grishchenko, 1983; Hadson and soavt., 1980, etc.) it is possible to allocate 3 forms of barreness at men.

In the presence of such sign the man should pass special inspection.

At inspection of 1996 men, suffering barreness, are established frequency and parities of various forms of this pathology, and also are found out main previous it and factors promoting its occurrence. Patients were distributed as follows: at 623 (31,2%) patients are diagnosed sekretornoe barreness, including at 507 - sekretorno-endokrinnoe, at 116 - sekretorno-toxic, for 768 patients - ekskretornoe barreness, including at 655 - ekskretorno-toxic, at 73 - ekskretorno-obturatsionnoe, at 465 patients - sochetannoe barreness and at 141 - its other forms.

Thus, sekretornoe barreness makes 31,2%, and ekskretornoe - 38,5% of all cases of barreness. If to consider, that at sochetannom barreness in 23,3% of cases also there were infringements ekskretsii passage infringement spermatozoonov will appear the barreness reason in 61,8% of supervision, i.e. These infringements are conducting etiopatogeneticheskim the factor of infringement of fruitfulness at men. The group В"other, or not classified forms of barrenessВ" includes its various forms. Basically the rare and a little studied versions of barreness are carried to it at men, including mediated through kopuljativnye frustration psychogeniuses, aspermatizm, autoimmunizatsija, relative or barreness difficult to explain. Each of named above forms of barreness at men develops under certain conditions and has the semiology.

Sekretornoe barreness arises because of primary, secondary and diskorreljatsionnoj endokrinnoj insufficiency of sexual glands.

Primary insufficiency is caused by the congenital or got diseases jaichek. The infringements caused by hereditary illnesses concern a congenital pathology: syndrome Klajnfeltera, Turner's syndrome, germafroditizm, the anomalies of urinogenital system linked to sexual chromosomes at which to a greater or lesser extent are damaged both generativnaja, and endokrinnaja functions jaichek, and also such congenital diseases, as true and false kriptorhizm, ektopija jaichka, man's psevdogermafroditizm, testikuljariaja feminization, gipogonadizm.

Among the got diseases by the most frequent inflammatory processes and tumours jaichek, their traumatic damages and age involjutsija are.

Secondary insufficiency of man's sexual glands congenital geneza - tserebropituitarnye anomalies: karlikovost (cerebral, gipofizarnaja, somatic), adipozogenitalnaja a dystrophy (illness Freliha), congenital insufficiency adenogipofiza (gipofizarnyj infantility, evnuhoidizm, etc.).

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