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A 31-year-old man whom you treated for alcoholic intoxication at the emergency room 2 days ago comes to your office because he wants another opinion about his infertility. He has seen other physicians for this condition. Considering his excessive alcoholic intake for the past decade. Which of the following is the likely site of his infertility
A.
Pretesticular
B.
Testicular
C.
Posttesticular
D.
Idiopathic
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a ??conversion from test to DHEA decreased?
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B
bc alcohol effect the sperm generating cells. and increase estrogen will effect the normal develpoment of sperms
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The answer is: B
Testicular causes are those with a direct effect on the testicles. Alcohol directly affects the testicles causing atrophy with inadequate sperm production. It also causes decreased plasma testosterone. Posttesticular causes are those that affect sperm transport, and pretesticular causes are those that affect the hormones that stimulate the testicles. Idiopathic causes represent those causes that are likely genetic and not elsewhere classified
