The epidemiology and etiology of azoospermia
The misconception that infertility is typically associated with the female is commonly faced in the management of infertile men. It is uncommon for a patient to present for an infertility evaluation with an abnormal semen analysis report before an extensive female partner workup has been performed....
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Faculdade de Medicina / USP
2013-01-01
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doaj-ee55c4f2062e406cbd709bf9aa0c3f392020-11-24T22:56:47ZengFaculdade de Medicina / USPClinics1807-59321980-53222013-01-01681526The epidemiology and etiology of azoospermiaMarcello CocuzzaConrado AlvarengaRodrigo PaganiThe misconception that infertility is typically associated with the female is commonly faced in the management of infertile men. It is uncommon for a patient to present for an infertility evaluation with an abnormal semen analysis report before an extensive female partner workup has been performed. Additionally, a man is usually considered fertile based only on seminal parameters without a physical exam. This behavior may lead to a delay in both the exact diagnosis and in possible specific infertility treatment. Moreover, male factor infertility can result from an underlying medical condition that is often treatable but could possibly be life-threatening. The responsibility of male factor in couple's infertility has been exponentially rising in recent years due to a comprehensive evaluation of reproductive male function and improved diagnostic tools. Despite this improvement in diagnosis, azoospermia is always the most challenging topic associated with infertility treatment. Several conditions that interfere with spermatogenesis and reduce sperm production and quality can lead to azoospermia. Azoospermia may also occur because of a reproductive tract obstruction. Optimal management of patients with azoospermia requires a full understanding of the disease etiology. This review will discuss in detail the epidemiology and etiology of azoospermia. A thorough literature survey was performed using the Medline, EMBASE, BIOSIS, and Cochrane databases. We restricted the survey to clinical publications that were relevant to male infertility and azoospermia. Many of the recommendations included are not based on controlled studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013001300003Male InfertilityAzoospermiaSemen Analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcello Cocuzza Conrado Alvarenga Rodrigo Pagani |
spellingShingle |
Marcello Cocuzza Conrado Alvarenga Rodrigo Pagani The epidemiology and etiology of azoospermia Clinics Male Infertility Azoospermia Semen Analysis |
author_facet |
Marcello Cocuzza Conrado Alvarenga Rodrigo Pagani |
author_sort |
Marcello Cocuzza |
title |
The epidemiology and etiology of azoospermia |
title_short |
The epidemiology and etiology of azoospermia |
title_full |
The epidemiology and etiology of azoospermia |
title_fullStr |
The epidemiology and etiology of azoospermia |
title_full_unstemmed |
The epidemiology and etiology of azoospermia |
title_sort |
epidemiology and etiology of azoospermia |
publisher |
Faculdade de Medicina / USP |
series |
Clinics |
issn |
1807-5932 1980-5322 |
publishDate |
2013-01-01 |
description |
The misconception that infertility is typically associated with the female is commonly faced in the management of infertile men. It is uncommon for a patient to present for an infertility evaluation with an abnormal semen analysis report before an extensive female partner workup has been performed. Additionally, a man is usually considered fertile based only on seminal parameters without a physical exam. This behavior may lead to a delay in both the exact diagnosis and in possible specific infertility treatment. Moreover, male factor infertility can result from an underlying medical condition that is often treatable but could possibly be life-threatening. The responsibility of male factor in couple's infertility has been exponentially rising in recent years due to a comprehensive evaluation of reproductive male function and improved diagnostic tools. Despite this improvement in diagnosis, azoospermia is always the most challenging topic associated with infertility treatment. Several conditions that interfere with spermatogenesis and reduce sperm production and quality can lead to azoospermia. Azoospermia may also occur because of a reproductive tract obstruction. Optimal management of patients with azoospermia requires a full understanding of the disease etiology. This review will discuss in detail the epidemiology and etiology of azoospermia. A thorough literature survey was performed using the Medline, EMBASE, BIOSIS, and Cochrane databases. We restricted the survey to clinical publications that were relevant to male infertility and azoospermia. Many of the recommendations included are not based on controlled studies. |
topic |
Male Infertility Azoospermia Semen Analysis |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013001300003 |
work_keys_str_mv |
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