THE MODERN ENDOCRINE EVALUATION OF THE INFERTILE MALE
Authors:
C. Niederberger
Authors place of work:
College of Engineering
; University of Illinois at Chicago
; Department of Bioengineering
; College of Medicine
; University of Illinois at Chicago
; Department of Urology
Published in the journal:
Urol List 2010; 8(4): 40-42
Summary
The evaluation and treatment of male infertility has undergone a revolution in the past 2 decades. The ability to use extraordinarily small amounts of sperm, sperm derived from the testis, and even dead sperm, to successfully create pregnancies with in-vitro fertilization and intracytoplasmic sperm injection fundamentally altered how infertile men should be evaluated. Even small changes in the hormonal milieu may result in profound prognostic and therapeutic implications. Based on the biological foundations of the male endocrine system, a rational approach to the evaluation of the infertile male is presented. This approach involves a thorough investigation into biologically active androgen, assessment of spermatogenic function, and appraisal of the involvement of related systems such as aromatase, thyroid and adrenal activity. With an accurate diagnosis, the clinician may then proceed with a sensible therapeutic approach to the infertile male.
KEY WORDS:
male infertility - endocrine evaluation - testosterone - testis
Zdroje
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Štítky
Paediatric urologist UrologyČlánok vyšiel v časopise
Urological Journal
2010 Číslo 4
Najčítanejšie v tomto čísle
- WHAT IS CONSIDERED EROTIC IN NONVERBAL COMMUNICATION
- TREATMENT OF LOCOREGIONAL DISEASE IN PATIENTS WITH PENIS CARCINOMA
- THE MODERN ENDOCRINE EVALUATION OF THE INFERTILE MALE
- TESTOSTERONE REPLACEMENT THERAPY AFTER PROSTATE CANCER: THE EMERGENCE OF A NEW CONCEPT IN CURRENT UROLOGIC PRACTICE