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Evaluation of Male Infertility

Yıl 2022, Cilt: 24 Sayı: Special Issue, 1 - 6, 30.10.2022
https://doi.org/10.18678/dtfd.1181407

Öz

Infertility is a condition that has psychological and social effects on couples. Around 50% of fertility problems originate in males. The causes of male infertility are highly variable, and many health conditions, congenital or acquired diseases can affect male fertility. While some causes are reversible, some of the causes are curable but not reversible. The main purpose of a male assessment is to identify correctable causes that may affect the fertility or health status of the patient. Correction of curable or reversible factors can improve both couples to have children and improve the general health of the man. Despite several research in this field, in many cases, the underlying causes are unknown. A proper infertility evaluation is essential to prevent complications associated with assisted reproductive techniques and testicular sperm extraction (TESE), and psychological problems that may result from failure, and to provide accurate preoperative information to patients. Initial evaluation for fertility should include a detailed physical examination along with his medical and reproductive history. Although sperm analysis is still a critical assessment in evaluating male infertility, the introduction of advanced diagnostic tests facilitates the determination of the etiology. This paper discusses the evaluation of male infertility in light of current guidelines.

Kaynakça

  • World Health Organization. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: WHO; 2010.
  • Schlegel PN, Sigman M, Collura B, De Jonge CJ, Eisenberg ML, Lamb DJ, et al. Diagnosis and treatment of infertility in men: AUA/ASRM guideline. American Urological Association and American Society for Reproductive Medicine; 2020.
  • Minhas S, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European association of urology guidelines on male sexual and reproductive health: 2021 update on male infertility. Eur Urol. 2021;80(5):603-20.
  • Honig SC, Lipshultz LI, Jarow J. Significant medical pathology uncovered by a comprehensive male infertility evaluation. Fertil Steril. 1994;62(5):1028-34.
  • Tur-Kaspa I, Maor Y, Levran D, Yonish M, Mashiach S, Dor J. How often should infertile men have intercourse to achieve conception? Fertil Steril. 1994;62(2):370-5.
  • Starc A, Trampuš M, Pavan Jukić D, Rotim C, Jukić T, Polona Mivšek A. Infertility and sexual dysfunctions: a systematic literature review. Acta Clin Croat. 2019;58(3.):508-15.
  • Hadziselimovic F, Hocht B, Herzog B, Buser MW. Infertility in cryptorchidism is linked to the stage of germ cell development at orchidopexy. Horm Res. 2007;68(1):46-52.
  • Kirby EW, Wiener LE, Rajanahally S, Crowell K, Coward RM. Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in azoospermic and oligospermic men with a varicocele: a systematic review and meta-analysis. Fertil Steril. 2016;106(6):1338-43.
  • Jayasena CN, Sharma A, Abbara A, Luo R, White CJ, Hoskin SG, et al. Burdens and awareness of adverse self‐reported lifestyle factors in men with sub‐fertility: A cross‐sectional study in 1149 men. Clin Endocrinol (Oxf). 2020;93(3):312-21.
  • Alshahrani S, Ahmed AF, Gabr AH, Abalhassan M, Ahmad G. The impact of body mass index on semen parameters in infertile men. Andrologia. 2016;48(10):1125-9.
  • Stojanov M, Baud D, Greub G, Vulliemoz N. Male infertility: the intracellular bacterial hypothesis. New Microbes New Infect. 2018;26:37-41.
  • Skakkebaek NE, Rajpert-De Meyts E, Buck Louis GM, Toppari J, Andersson AM, Eisenberg ML, et al. Male reproductive disorders and fertility trends: influences of environment and genetic susceptibility. Physiol Rev. 2016;96(1):55-97.
  • Zinaman MJ, Brown CC, Selevan SG, Clegg ED. Semen quality and human fertility: a prospective study with healthy couples. J Androl. 2000;21(1):145-53.
  • Kruger TF, Acosta AA, Simmons KF, Swanson RJ, Matta JF, Oehninger S. Predictive value of abnormal sperm morphology in in vitro fertilization. Fertil Steril. 1988;49(1):112-7.
  • Matin-du-Pan RC, Bischof P. Increased follicle stimulating hormone in infertile men: Is increased plasma FSH always due to damaged germinal epithelium? Hum Reprod. 1995;10(8):1940-5.
  • Krausz C, Rosta V, Swerdloff RS, Wang C. Genetics of male infertility. In: Pyeritz RE, Korf BR, Grody WW, editors. Emery and Rimoin’s principles and practice of medical genetics and genomics. 7th ed. Berkeley, CA: Elsevier, Academic Press; 2022. p.121-47.
  • Ravel C, Berthaut I, Bresson J, Siffroi JP. Prevalence of chromosomal abnormalities in phenotypically normal and fertile adult males: large-scale survey of over 10 000 sperm donor karyotypes. Hum Reprod. 2006;21(6):1484-9.
  • Halliwell B, Gutteridge JMC. Free radicals in biology and medicine. 5th ed. USA: Oxford University Press; 2015.

Erkek İnfertilitesinin Değerlendirilmesi

Yıl 2022, Cilt: 24 Sayı: Special Issue, 1 - 6, 30.10.2022
https://doi.org/10.18678/dtfd.1181407

Öz

İnfertilite çiftler üzerinde psikolojik ve sosyal olarak etkileri olan bir durumdur. Fertilite problemlerinin yaklaşık %50'si erkeklerden kaynaklanmaktadır. Erkek infertilitesinin nedenleri oldukça değişkendir ve birçok genel sağlık durumu, doğuştan gelen veya sonradan kazanılan hastalıklar erkek fertilitesini etkileyebilir. Bazı nedenler geri döndürülebilir iken, bazı nedenler tedavi edilebilirdir ancak geri döndürülebilir değildir. Erkek değerlendirmesinin temel amacı, hastanın fertilitesini veya sağlık durumunu etkileyebilecek düzeltilebilir nedenleri belirlemektir. Tedavi edilebilir veya geri döndürülebilir faktörlerin düzeltilmesi, hem çiftin çocuk sahibi olmasını sağlayabilir hem de erkeğin genel sağlık durumunu iyileştirebilir. Bu alandaki birçok araştırmaya rağmen, çoğu durumda altta yatan etiyoloji bilinmemektedir. Doğru bir infertilite değerlendirmesi, yardımcı üreme tekniklerine ve testiküler sperm ekstraksiyonuna (TESE) bağlı komplikasyonları ve başarısızlıktan kaynaklanabilecek psikolojik sorunları önlemek ve hastalara işlem öncesi doğru bilgi vermek için gereklidir. Fertilite için ilk değerlendirme, tıbbi ve reprodüktif öykü ile ayrıntılı bir fizik muayeneyi içermelidir. Sperm analizi erkek infertilitesinin değerlendirilmesinde halen önemli bir araç olmakla birlikte, ileri tanısal testlerin kullanılmaya başlanması etiyolojinin belirlenmesini kolaylaştırmaktadır. Bu makale, mevcut kılavuzlar ışığında erkek infertilitesinin değerlendirilmesini tartışmaktadır.

Kaynakça

  • World Health Organization. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: WHO; 2010.
  • Schlegel PN, Sigman M, Collura B, De Jonge CJ, Eisenberg ML, Lamb DJ, et al. Diagnosis and treatment of infertility in men: AUA/ASRM guideline. American Urological Association and American Society for Reproductive Medicine; 2020.
  • Minhas S, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European association of urology guidelines on male sexual and reproductive health: 2021 update on male infertility. Eur Urol. 2021;80(5):603-20.
  • Honig SC, Lipshultz LI, Jarow J. Significant medical pathology uncovered by a comprehensive male infertility evaluation. Fertil Steril. 1994;62(5):1028-34.
  • Tur-Kaspa I, Maor Y, Levran D, Yonish M, Mashiach S, Dor J. How often should infertile men have intercourse to achieve conception? Fertil Steril. 1994;62(2):370-5.
  • Starc A, Trampuš M, Pavan Jukić D, Rotim C, Jukić T, Polona Mivšek A. Infertility and sexual dysfunctions: a systematic literature review. Acta Clin Croat. 2019;58(3.):508-15.
  • Hadziselimovic F, Hocht B, Herzog B, Buser MW. Infertility in cryptorchidism is linked to the stage of germ cell development at orchidopexy. Horm Res. 2007;68(1):46-52.
  • Kirby EW, Wiener LE, Rajanahally S, Crowell K, Coward RM. Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in azoospermic and oligospermic men with a varicocele: a systematic review and meta-analysis. Fertil Steril. 2016;106(6):1338-43.
  • Jayasena CN, Sharma A, Abbara A, Luo R, White CJ, Hoskin SG, et al. Burdens and awareness of adverse self‐reported lifestyle factors in men with sub‐fertility: A cross‐sectional study in 1149 men. Clin Endocrinol (Oxf). 2020;93(3):312-21.
  • Alshahrani S, Ahmed AF, Gabr AH, Abalhassan M, Ahmad G. The impact of body mass index on semen parameters in infertile men. Andrologia. 2016;48(10):1125-9.
  • Stojanov M, Baud D, Greub G, Vulliemoz N. Male infertility: the intracellular bacterial hypothesis. New Microbes New Infect. 2018;26:37-41.
  • Skakkebaek NE, Rajpert-De Meyts E, Buck Louis GM, Toppari J, Andersson AM, Eisenberg ML, et al. Male reproductive disorders and fertility trends: influences of environment and genetic susceptibility. Physiol Rev. 2016;96(1):55-97.
  • Zinaman MJ, Brown CC, Selevan SG, Clegg ED. Semen quality and human fertility: a prospective study with healthy couples. J Androl. 2000;21(1):145-53.
  • Kruger TF, Acosta AA, Simmons KF, Swanson RJ, Matta JF, Oehninger S. Predictive value of abnormal sperm morphology in in vitro fertilization. Fertil Steril. 1988;49(1):112-7.
  • Matin-du-Pan RC, Bischof P. Increased follicle stimulating hormone in infertile men: Is increased plasma FSH always due to damaged germinal epithelium? Hum Reprod. 1995;10(8):1940-5.
  • Krausz C, Rosta V, Swerdloff RS, Wang C. Genetics of male infertility. In: Pyeritz RE, Korf BR, Grody WW, editors. Emery and Rimoin’s principles and practice of medical genetics and genomics. 7th ed. Berkeley, CA: Elsevier, Academic Press; 2022. p.121-47.
  • Ravel C, Berthaut I, Bresson J, Siffroi JP. Prevalence of chromosomal abnormalities in phenotypically normal and fertile adult males: large-scale survey of over 10 000 sperm donor karyotypes. Hum Reprod. 2006;21(6):1484-9.
  • Halliwell B, Gutteridge JMC. Free radicals in biology and medicine. 5th ed. USA: Oxford University Press; 2015.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Davetli Derleme
Yazarlar

Muhammed Arif İbiş 0000-0001-8581-2101

Önder Yaman Bu kişi benim 0000-0002-1587-0688

Yayımlanma Tarihi 30 Ekim 2022
Gönderilme Tarihi 15 Mayıs 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 24 Sayı: Special Issue

Kaynak Göster

APA İbiş, M. A., & Yaman, Ö. (2022). Evaluation of Male Infertility. Duzce Medical Journal, 24(Special Issue), 1-6. https://doi.org/10.18678/dtfd.1181407
AMA İbiş MA, Yaman Ö. Evaluation of Male Infertility. Duzce Med J. Ekim 2022;24(Special Issue):1-6. doi:10.18678/dtfd.1181407
Chicago İbiş, Muhammed Arif, ve Önder Yaman. “Evaluation of Male Infertility”. Duzce Medical Journal 24, sy. Special Issue (Ekim 2022): 1-6. https://doi.org/10.18678/dtfd.1181407.
EndNote İbiş MA, Yaman Ö (01 Ekim 2022) Evaluation of Male Infertility. Duzce Medical Journal 24 Special Issue 1–6.
IEEE M. A. İbiş ve Ö. Yaman, “Evaluation of Male Infertility”, Duzce Med J, c. 24, sy. Special Issue, ss. 1–6, 2022, doi: 10.18678/dtfd.1181407.
ISNAD İbiş, Muhammed Arif - Yaman, Önder. “Evaluation of Male Infertility”. Duzce Medical Journal 24/Special Issue (Ekim 2022), 1-6. https://doi.org/10.18678/dtfd.1181407.
JAMA İbiş MA, Yaman Ö. Evaluation of Male Infertility. Duzce Med J. 2022;24:1–6.
MLA İbiş, Muhammed Arif ve Önder Yaman. “Evaluation of Male Infertility”. Duzce Medical Journal, c. 24, sy. Special Issue, 2022, ss. 1-6, doi:10.18678/dtfd.1181407.
Vancouver İbiş MA, Yaman Ö. Evaluation of Male Infertility. Duzce Med J. 2022;24(Special Issue):1-6.
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