The treatment of male factor infertility is a rapidly developing field
. The introduction of microsurgical fertilization techniques allows as
sisted conception units to treat couples who previously would not have
benefited from in-vitro fertilization techniques. However, these tech
niques are only used for the minority of subfertile men in andrologica
l practice. Many subfertile men are still treated pharmacologically or
by sperm selection methods to enhance sperm fertilizing ability. Nume
rous pharmacological compounds have been described that enhance sperm
motility and thus, potentially, sperm fertilizing capacity. This paper
attempts to review these compounds and assess their role in treatment
of the subfertile male.