PURPOSE The summary presented herein represents Part I of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. Part I outlines the appropriate evaluation of the male in an infertile couple. Recommendations proceed from obtaining an appropriate history and physical exam (Appendix I), as well as diagnostic testing, where indicated. 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 evaluation of male infertility as well as the association of male infertility with other important health conditions. The detection of male infertility increases the risk of subsequent development of health problems for men. In addition, specific medical conditions are associated with some causes for male infertility. Evaluation and treatment recommendations are summarized in the associated algorithm. (Figure 1) CONCLUSION: The presence of male infertility is crucial to the health of patients and its effects must be considered for the welfare of society. This document will undergo 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 指南第一部分

目的 此处提供的摘要代表了致力于诊断和治疗男性不育症的两部分系列的第 I 部分：AUA/ASRM 指南。第一部分概述了对不育夫妇中男性的适当评估。建议从获得适当的病史和体格检查（附录 I）以及诊断性测试（如有指示）开始。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，证据主体被指定为 A（高)、B（中等）或 C（低）以支持强、中等或有条件的建议。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 本指南提供了关于评估男性不育以及男性不育与其他重要健康状况的关联的更新的、基于证据的建议。男性不育症的检测增加了男性随后出现健康问题的风险。此外，特定的医疗条件与男性不育的一些原因有关。评估和治疗建议总结在相关的算法中。（图 1） 结论：男性不育的存在对患者的健康至关重要，必须考虑其对社会福利的影响。