Profil hormonal chez l'homme en cas d'infertilité au laboratoire de radio immunologie de l'institut des radioisotopes de Niamey

Objective The aim of this study was to determine the sociodemographic parameters and hormonal profile of infertile man. Patients and methods We included in our study, all patients presenting with infertility dating back at least two years, with abnormal semen analysis. These patients came to radio immunological laboratory assays for determination of FSH, LH, PRL and testosterone in the assessment of infertility. Results The age of the patients ranged from 25 years to 64 years with an average age of 44.5 years. Employees are the most represented with a frequency of 63.93%, with 54.41% had consulted a primary infertility, followed by traders in 15.63% and 70% for primary infertility. The hormonal assessment was abnormal in 86% of cases (55/64). A rise in FSH was observed in 36% of patients, the LH was elevated in 31.25% of patients, 48.44% in PRL. 12 patients (18.75%) had low testosterone Among the endocrinopathies suspected, the hypogonadism hypergonadotrophic is the most represented with a frequency of 32.8%, testicular deficiencies are found in 12.5% of cases, hypogonadism hypogonadotrophic in 10.93% of cases, hyperprolactinemia isolated in 18.75% of cases and obstructive causes in 14 04% of cases. Conclusion There are many endocrinopathies that can induce male infertility. They can be congenital or acquired and can concern several stages, hypothalamus, pituitary and testis. It's important to diagnose thoses endocrinopathies, because some of them are accessible to treatment.