“…These observations suggest that the testis may be particularly sensitive to reductions in its blood flow. In line with this, experimental studies have shown that short-term total ischaemia and a moderate short-term decrease in flow results in apoptosis among spermatogonia and early spermatocytes (Steinberger & Tjioe, 1969;Tjioe & Steinberger, 1970;Turner et al, 1997;Lysiak et al, 2000aLysiak et al, , 2001Bergh et al, 2001) and that a moderate long-term reduction in flow leads to focal damage of the seminiferous tubules (Markey et al, 1994). Sclerotic changes in the testicular vasculature are not uncommon in young and elderly men (Suoranta, 1971;Oshima et al, 1984;Brehmer-Andersson et al, 1985), and the morphological appearance of the seminiferous tubules in old or infertile men is similar to that observed after experimental ischaemia (Regadera et al, 1985;Paniagua et al, 1991;Markey et al, 1994).…”