Many medical and surgical treatments result in impaired male fertility. Sometimes impairments are permanent, while other times they may be reversible. Clinicians who treat urologic and nonurologic problems, as well as those of us who treat male and female infertility should understand what treatments affect which aspects of reproduction and what options for management are available. Conditions for which treatment may impair fertility range from benign prostatic hyperplasia to cancer to behavioral health issues. This month’s Views and Reviews summarizes these conditions, the mechanisms of fertility impairment as well as preemptive and posttreatment approaches for management.

许多内科和外科治疗会导致男性生育能力受损。有时损伤是永久性的，而有时它们可​​能是可逆的。治疗泌尿系统和非泌尿系统问题的临床医生，以及我们这些治疗男性和女性不孕症的医生，应该了解哪些治疗会影响生殖的哪些方面以及可用的治疗选择。治疗可能损害生育能力的疾病范围从良性前列腺增生到癌症再到行为健康问题。本月的观点和评论总结了这些情况、生育障碍的机制以及管理的先发制人和后处理方法。