This article summarizes the current office-based evaluation of male infertility and offers speculation, based on current research, on the future evolution of this encounter.
A comprehensive history, physical examination, and semen analysis remain paramount to directing the evaluation; however, new advances continue to refine diagnostic and treatment algorithms. Interpretation of the routine semen analysis as well as adjunctive assessments, including reactive oxygen species, DNA fragmentation, and fluorescent in situ hybridization (FISH) are discussed. The analysis of genetic and endocrine abnormalities is reviewed.
Written by:
Smith RP, Coward RM, Lipshultz LI. Are you the author?
Department of Urology, University of Virginia, PO Box 800422, Charlottesville, VA 22908, USA.
Reference: Urol Clin North Am. 2014 Feb;41(1):19-37.
doi: 10.1016/j.ucl.2013.08.002
PubMed Abstract
PMID: 24286765
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