Specialist
in General Surgery, Shinas Health Center, North Al Batinah Governorate, Oman
Corresponding Author: Dr. Fadi Al-Hussain, Specialist in General Surgery, Shinas
Health Center, North Al Batinah Governorate, Oman, Email: wwwfady2000@gmail.com
Citation:
*Dr. Fadi Al-Hussain, MD, Dr. Maha Almeqbali, Dr. Fatema Almeqbali, Dr. Saira
Ghafoor, Dr. Marwa suliman Mater Albadi, Dr. Mustafa Ramadan Abouelsayed, Dr.
Iman Khalil Alblushi, Dr. Huzifa Abdalrhman Hag Idris, Dr. Murad Amer Rouis,
Dr. Rahab Mohmmed Ali Al Mammari, Dr.
Prasath Selvananthan (2026).
Spectrum of Male Infertility in a Unified Primary Care Clinic: A Case Series
from Shinas with Focus on Seminal Hyperviscosity. Euro J Case Rep Clin Imag.
2026; May, e21,1-4.
Copyrights ©
Dr. Fadi Al-Hussain, 2026, et al., This article is licensed under the Creative
Commons Attribution-Non Commercial-4.0-International-License-(CCBY-NC)
(https://europeanjournalofcasereports.org/blogpage/copyright-policy). Usage and
distribution for commercial purposes require written permission.
Abstract
Background: Male infertility contributes to approximately
40–50% of infertility cases worldwide. Although semen analysis remains the
cornerstone of evaluation, many abnormalities encountered in primary care
remain underreported, particularly Seminal Hyperviscosity (SHV). SHV has been
associated with reduced sperm motility, oxidative stress, sperm agglutination,
and impaired fertilization potential [1–4]. Objective: To describe the clinical spectrum of male infertility
presenting to a unified primary care male infertility clinic, with special
emphasis on seminal hyperviscosity and treatment outcomes. Methods: A case series was conducted at Shinas Health Center, Oman.
A total of n=28 male patients aged 20–45 years presenting with primary or
secondary infertility were evaluated through detailed medical history, physical
examination, semen analysis, hormonal profile when indicated, and scrotal
ultrasonography when indicated. Patients with SHV received Vitamin E,
L-Carnitine, OligoCare supplementation, and lifestyle modification for three
months. Results: Among 28 patients,
SHV was identified in 7 cases (25%), Varicocele in 7 cases (25%),
azoospermia/aspermia/cryptozoospermia in 3 cases (10.7%), reduced motility in 2
cases (7.1%), sperm agglutination in 1 case (3.6%), and primary testicular
failure in 2 cases (7.1%). Among SHV patients, 4 of 7 (57.1%) showed
improvement after treatment. Conclusion:
A unified male infertility clinic in primary care can successfully identify
common causes of male infertility. SHV represented a major reversible
abnormality, with more than half of treated patients demonstrating improvement
after one spermatogenic cycle.
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