학술논문

Is It Time for Andrology and Endocrinology Professionals in Assisted Reproduction Centers?
Document Type
article
Source
The World Journal of Men's Health, Vol 41, Iss 4, Pp 796-808 (2023)
Subject
andrology
endocrinologist
guidelin
male infertility
reproductive techniques
assisted
Medicine
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2287-4208
2287-4690
Abstract
Epidemiologists indicate that about half of the couple’s infertility cases are due to a male factor. Despite this, the role of andrologists or endocrinologists in assisted reproductive technique (ART) centers is still underestimated. According to our literature review, this reduces the chance of a thorough clinical evaluation of the male partners, which, sometimes consists only in a mere semen analysis, usually performed by laboratory technicians. A more complete diagnostic process could lead to the identification of potentially treatable causes of infertility, the recognition of diseases that require immediate treatment, and to the discovery of genetic diseases and, therefore, transmissible to the offspring. It can also increase the success rate of ART resulting in less psychological and financial burden for both public health resources and infertile couples. The presence of medical personnel with andrological and endocrinological skills in the ART centers represents the first step in creating ‘precision medicine’. We hope that the guidelines of the various scientific societies will clearly contemplate this possibility.