Pre-IVF Evaluation of the Infertile Man

Chapter

Abstract

In vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) have revolutionized the treatment of male factor infertility. However, it is still critically important to fully evaluate the male with a well-considered history, comprehensive physical examination, and appropriate hormonal and genetic assays in order to arrive at as precise a diagnosis as possible prior to the institution of therapy. This allows the couple to be fully informed about the options available to them, including ones that may result in an improvement in sperm parameters and fertility, result in subsequent natural conception, a move to intrauterine insemination from anticipated IVF, or an enhancement of IVF/ICSI success. Conditions or syndromes with general health implications are discovered with a complete work-up and the genetic basis of many can be elucidated. If the perspective is that the potential child that we are helping to create is part of the total equation, then any genetic maladies that might be transmitted to him/her should be determined and the couple educated about them with the options to possibly prevent that transmission discussed.

Keywords

Obesity Recombination Testosterone Smoke Androgen 

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Department of UrologyBoston Medical CenterBostonUSA
  2. 2.Department of UrologyBoston University School of MedicineBostonUSA

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