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Diagnosis and treatment of infertility in men: AUA/ASRM guideline part II
Fertility and Sterility ( IF 6.7 ) Pub Date : 2021-01-01 , DOI: 10.1016/j.fertnstert.2020.11.016
Peter N Schlegel 1 , Mark Sigman 2 , Barbara Collura 3 , Christopher J De Jonge 4 , Michael L Eisenberg 5 , Dolores J Lamb 6 , John P Mulhall 7 , Craig Niederberger 8 , Jay I Sandlow 9 , Rebecca Z Sokol 10 , Steven D Spandorfer 6 , Cigdem Tanrikut 11 , Jonathan R Treadwell 12 , Jeffrey T Oristaglio 12 , Armand Zini 13
Affiliation  

PURPOSE The summary presented herein represents Part II of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. Part II outlines the appropriate management of the male in an infertile couple. Medical therapies, surgical techniques, as well as use of intrauterine insemination (IUI)/in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) are covered to allow for optimal patient management. Please refer to Part I for discussion on evaluation of the infertile male and discussion of relevant health conditions that are associated with male infertility. MATERIALS/METHODS The Emergency Care Research Institute Evidence-based Practice Center team searched PubMed®, Embase®, and Medline from January 2000 through May 2019. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. (Table 1) This summary is being simultaneously published in Fertility and Sterility and The Journal of Urology. RESULTS This Guideline provides updated, evidence-based recommendations regarding management of male infertility. Such recommendations are summarized in the associated algorithm. (Figure 1) CONCLUSION: Male contributions to infertility are prevalent, and specific treatment as well as assisted reproductive techniques are effective at managing male infertility. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future treatment options continues to expand.

中文翻译:

男性不育症的诊断和治疗:AUA/ASRM 指南第二部分

目的 本文中的摘要代表了专门针对男性不育症的诊断和治疗的两部分系列的第二部分:AUA/ASRM 指南。第二部分概述了对不育夫妇中男性的适当管理。医疗疗法、手术技术以及宫内人工授精 (IUI)/体外受精 (IVF)/卵胞浆内单精子注射 (ICSI) 的使用都包括在内,以实现最佳的患者管理。关于不育男性的评估和与男性不育相关的相关健康状况的讨论,请参阅第一部分。材料/方法 急诊护理研究所循证实践中心团队从 2000 年 1 月至 2019 年 5 月检索了 PubMed®、Embase® 和 Medline。当存在足够证据时,为支持强烈、中等或有条件的建议,证据主体被分配了 A(高)、B(中等)或 C(低)的强度等级。在缺乏足够证据的情况下,附加信息作为临床原则和专家意见提供。(表 1)该摘要同时发表在 Fertility and Sterility 和 The Journal of Urology 上。结果 本指南提供了有关男性不育管理的最新循证建议。此类建议在相关算法中进行了总结。(图 1) 结论:男性对不孕症的影响很普遍,特殊治疗和辅助生殖技术可有效控制男性不育症。
更新日期:2021-01-01
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