A male and female patient complain of problems with conception. The female patient is in generally good health. The male patient reports history of cystic fibrosis
It is important for the clinician to recognize that in male patients with CF, there is often malformation of the:
A. Vas deferens
B. Epididymis
C. Seminal vesicles
D. All of the above
ANS: D
Male patients with CF frequently demonstrate malformation of the epididymis, the vas deferens, seminal vesicles, and ejaculatory ducts are atrophic or absent. However, spermatogenesis is usually normal. It is possible that the patient has a much more rare unilateral absence of the vas deferens. Usually, there are no signs and symptoms other than infertility if the patient has not been previously diagnosed with CF. Physical examination may show complete absence of the vas deferens unilaterally or bilaterally or a palpable gap in the vas deferens. Testes are usually of normal size and consistency, and the patient will demonstrate normal libido and age-appropriate secondary sexual characteristics.
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Fill in the blank(s) with correct word
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