1. UroMaG_Afrik: First of all, could you please introduce yourself briefly to our audience?

* Thank you for the invitation and i am glad toparticipate in the UroMaG Afrik’s initiative to improve and promote urology care in sub-saharan Africa. I am a consultant urologist born and raised in Addis Ababa, Ethiopia. I am the third child to my family and the first to be a physician. I had a deep interest to become a medical doctor sice my elementary and highschool years and i worked hard to join Hawassa University Medical School.

I worked as a university lecturer and GP for two years after my graduation at which time

It's difficult to give figures for male infertility in Africa for several reasons: In the collective unconscious, infertility was often attributed to women, as was the sex of the child. We therefore need to set up national registers that can collate data from each country, taking into account polygamy, which can sometimes muddy the waters. That said, as on every continent, male fertility is declining as a result of environmental factors, pesticides and other endocrine disruptors that have a direct effect on the spermogram. Obesity, tobacco and other recreational drugs also have a detrimental effect on spermatogenesis. It is estimated that since the 1950s, sperm concentration has fallen by around half.

Interviews with experts in urology and andrology, as well as with patients who have overcome urological or andrological health problems.