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Diagnosis and treatment of infertility in men: AUA/ASRM guideline part II

      Purpose

      The summary presented herein represents Part II of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. Part II outlines the appropriate management of the male in an infertile couple. Medical therapies, surgical techniques, as well as use of intrauterine insemination (IUI)/in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) are covered to allow for optimal patient management. Please refer to Part I for discussion on evaluation of the infertile male and discussion of relevant health conditions that are associated with male infertility.

      Materials/Methods

      The Emergency Care Research Institute Evidence-based Practice Center team searched PubMed®, Embase®, and Medline from January 2000 through May 2019. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. (Table 1) This summary is being simultaneously published in Fertility and Sterility and The Journal of Urology.

      Results

      This Guideline provides updated, evidence-based recommendations regarding management of male infertility. Such recommendations are summarized in the associated algorithm. (Figure 1)

      Conclusion

      Male contributions to infertility are prevalent, and specific treatment as well as assisted reproductive techniques are effective at managing male infertility. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future treatment options continues to expand.
      Diagnóstico y tratamiento de la infertilidad masculina: guía de AUA/ASRM parte II.

      Propósito

      El resumen que se presenta en este documento representa la Parte II de la serie de dos partes dedicada al diagnóstico y tratamiento de la infertilidad en hombres: guía AUA / ASRM. La Parte II describe el manejo apropiado del hombre en una pareja infértil. Terapias médicas, técnicas quirúrgicas, así como el uso de inseminación intrauterina (IIU) / fertilización in vitro (FIV) / inyección intracitoplasmática espermática (ICSI) están incluidos para permitir un manejo óptimo del paciente. Consulte la Parte I para obtener información sobre la evaluación del varón infértil y la discusión sobre las condiciones de salud relevantes que están asociadas con la infertilidad masculina.

      Materiales/Métodos

      El equipo del Instituto de investigación de urgencias Centro de práctica Basado en la Evidencia buscó en PubMed®, Embase® y Medline desde enero de 2000 hasta mayo de 2019. Cuando existía evidencia suficiente, se asignaba al cuerpo de evidencia una calificación de fuerza de A (alto), B (moderado) o C (bajo) para el apoyo de recomendaciones fuertes, moderadas o condicionales. En ausencia de suficiente evidencia, se proporcionaba información adicional como Principios Clínicos y Opiniones de expertos (Tabla 1). Este resumen está siendo publicado simultáneamente en Fertility and Sterility y The Journal of Urology.

      Resultados

      esta guía proporciona recomendaciones actualizadas y basadas en la evidencia sobre el manejo de la infertilidad masculina. Tales recomendaciones se resumen en el algoritmo asociado (Figura 1).

      Conclusión

      La contribución masculina a la infertilidad son prevalentes, y el tratamiento específico y las técnicas de reproducción asistida son eficaces en el manejo de la infertilidad masculina. Este documento se someterá a revisiones bibliográficas adicionales y se actualizará a medida que se conozcan los tratamientos actuales y las opciones de tratamiento futuras continúen expandiéndose.

      Keywords

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      Linked Article

      • Diagnosis and treatment of infertility in men: AUA/ASRM guideline part I
        Fertility and SterilityVol. 115Issue 1
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          The summary presented herein represents Part I of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. Part I outlines the appropriate evaluation of the male in an infertile couple. Recommendations proceed from obtaining an appropriate history and physical exam (Appendix I), as well as diagnostic testing, where indicated.
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