Testicular schistosomiasis caused by Schistosoma mansoni
is very rare and more so when associated with primary infertility. A
40 years old man from the Jos Plateau, North Central Nigeria presented with primary infertility after ten years of marriage.
Sperm count revealed oligospermia and he also complained of inability to sustain erection. Testicular biopsy revealed several
ova of Schistosoma mansoni
in the connective tissue of the testes. Cases of infertility in endemic areas especially when there is
no supply of potable water should raise suspicion of schistosomiasis among other pathologies and possible hormonal
disturbances when the testes are involved.