Andrologist

  • 文章类型: English Abstract
    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.
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  • 文章类型: Journal Article
    不孕症正在上升,辅助生殖技术(ART)中心的可用性也是如此。这些中心的唯一目的是帮助这些不幸的夫妇怀孕。因此,治疗的重点是女性伴侣,而男性被降级为精子的来源。在胞浆内单精子注射时代,即使只有一个成熟的精子也可以怀孕,男性因素不育症(MFI)的评估和管理往往被忽视。MFI和较差的精液参数是男性健康的标志。他可能患有勃起或射精问题或患有可矫正的阻塞性无精子症。简单及时的精索静脉曲张矫正可能有助于解决问题。重要的是要了解MFI不是一种疾病,而是可能是睾丸或脑肿瘤等主要潜在临床疾病的症状。不育治疗可能是男性寻求医疗保健评估的唯一机会。印度有大量受过男性护理培训的合格泌尿科医师。相比之下,妇科医生可能不会接受男性患者管理方面的培训,因此,有一个重要的地方,男性服务是艺术中心的一个组成部分。男科医生将提供最低限度的雄激素评估和特定条件的治疗。这可以避免或减少对侵入性且昂贵的ART的需要。男科医生也可以选择最合适的精子提取方式。毫无疑问,提供男科服务将提高整体护理质量,降低成本和并发症,而且在医学上也是安全的.
    Infertility is on a rise, and so is the availability of assisted reproductive technique (ART) centres. The sole aim of these centers is to help these unfortunate couples achieve pregnancy. Hence, the concentration of the treatment is on the female partner, while the male is relegated to just being a source for sperm. In the era of intracytoplasmic sperm injection, when pregnancy is possible even with a single mature sperm, evaluation and management of male factor infertility (MFI) is often neglected. MFI and poor semen parameters are markers of male health. He could be suffering from erectile or ejaculatory issues or with correctable obstructive azoospermia. A simple timely varicocele correction may help resolve the issue. It is important to understand that MFI is not a disease but may be a symptom of major underlying clinical condition like testicular or brain tumors. Infertility treatment could be the only occasion when a male seeks health-care evaluation. India has a large pool of qualified urologists trained in andrological care. In contrast, gynecologists may not be trained in the management of male patients, hence there is an important place for andrological services to be an integral part of ART centers. Andrologists would offer minimal andrological evaluation and condition-specific treatment. This could avoid or reduce the need for invasive and expensive ART. Andrologists could also choose the most appropriate mode of sperm retrieval. Undoubtedly, availability of andrological services would improve the overall quality of care, reduce the costs and complications, and would also be medicolegally safe.
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  • 文章类型: Journal Article
    OBJECTIVE: To understand and analyze what young Italian males attending high school would like to ask andrologists but do not know how to or do not have the courage to do so.
    METHODS: As part of our \"Androlife\" campaign, we invited 1565 students attending the last year of high school to participate in our research. Firstly, they attended a lesson on general and andrological health and then, on a voluntary basis, they responded to a survey and were subjected to a preventive andrological visit.
    RESULTS: The data analysis showed that the main topics in which young people are interested are: sexual activity and sexuality, sexually transmitted diseases, andrological health and fertility, and lifestyle.
    CONCLUSIONS: This study highlights that young people are very interested in sexual health issues and that they have specific needs and interests with regard to sexual health information. Public education campaigns such as Androlife should be supported and further improved on the basis of the advice received by young participants. Sexual and reproductive health education targeting adolescents and young adults represent the basis both for wellness and for fertility preservation, and thus benefits of increased support to educational campaigns would be apparent not only in terms of individual health but also in terms of cost reduction in public spending.
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