背景:根据2022年提交给法国卫生部长的《国家反不育战略报告》,其目标13是:更好地识别和诊断男性不育,我们想与生殖专家澄清泌尿科医生在不育夫妇的管理中应该扮演什么角色。
方法:与生殖医学和生物学-男科横向专业培训的教学委员会和飞行员达成了专家共识,和总统们一起,法国生殖研究联合会(FFER)的董事会和科学委员会。
结果:在一对夫妇不孕症的情况下,应该从一开始就评估双方的生育率,如果ART出现异常或失败,应将患者转介给泌尿外科医师进行专家管理。泌尿外科医师将建立医疗或手术治疗,以改善男性生育能力的预后,与整个艺术团队合作。泌尿科医生/男科医生在受孕前负责男性的健康也很重要,因为对病人自己和他的后代都有好处。
结论:这项专家共识阐明了男性泌尿系医师在ART途径中的作用,关于男科培训的必要性和所需的医学人口统计。
BACKGROUND: Following on from the Rapport vers une stratégie nationale de lutte contre l\'infertilité (Report on a national strategy to combat infertility) submitted to the French Minister of Health in 2022, whose objective 13 is: to better identify and diagnose male infertility, we wanted to clarify with reproductive specialists what role the urologist should play in the management of the infertile couple.
METHODS: An expert consensus was reached with the Pedagogical Committee and pilots of the Transversal Specialized Training in Reproductive Medicine and Biology - Andrology, and with the presidents, board and scientific council of the French Federation for Reproductive Study (FFER).
RESULTS: In the case of infertility in a couple, the fertility of both partners should be assessed from the outset, and in the event of abnormality or failure of ART, the patient should be referred to a uro-
andrologist for expert management. The uro-
andrologist will set up medical or surgical treatments to improve the prognosis of the man\'s fertility, in conjunction with the entire ART team. It is also important for the urologist/
andrologist to take charge of the man\'s health before conception, because of the benefits for the patient himself and for his offspring.
CONCLUSIONS: This expert consensus has shed light on the role of the uro-
andrologist in the ART pathway, on the need for training in Andrology and on the medical demography required.