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Clinical guidelines for male infertility: controversial issues and the need to reach interdisciplinary consensus
DOI: https://dx.doi.org/10.18565/urology.2024.1.143-152
Korneev I.A., Apolikhin O.I., Babenko A.Yu., Bogo- lyubov S.V., Bozhedomov V.A., Vinogradov I.V., Gazimiev M.A., Gamidov S.I., Efremov E.A., Epanchint- seva E.A., Zhukov O.B., Kamalov A.A., Kinunen A.A., Kogan M.I., Korsak V.S., Krasnyak S.S., Moiseeva I.V., Ovchinnikov R.I., Petrishchev V.S., Rogozin D.S., Savzikhanov R.T., Chernykh V.B., Shurygina O.V.
1 Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia, Saint Petersburg, Russia; 2International center of the Reproductive Medicine, Saint Petersburg, Russia; 3N.A. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Radiological Centre of Ministry of health of Russian Federation, Moscow, Russia; 4FGBU National Medical Research Center named after V.A. Almazov of the Ministry of Health of the Russian Federation, Saint Petersburg, Russia; 5FGBU National Medical Research Center of Endocrinology, Ministry of Health of Russian Federation, Moscow, Russia; 6Andrologic group of Clinic NGC, Moscow, Russia; 7Lomonosov Moscow State University, Moscow, Russia; 8 FGBU National Medical Research Center for Obstetrics, Gynecology and Perinatology named after V.I. Kulakov, Ministry of Health of the Russian Federation; 9FGBU Polyclinic №3 of the ADP of the RF, Moscow, Russia; 10Scientific and Practical Center of Reproductive and Regenerative Medicine, Moscow, Russia; 11FGAOU I.M. Sechenov First Moscow State Medical University, Moscow, Russia; 12Pirogov Russian National Research Medical University, Moscow, Russia; 13FGBNU "Federal Research Center of Fundamental and Translational Medicine, Moscow, Russia; 14FGBOU VO Novosibirsk State Medical University of Ministry of Health of Russia, Novosibirsk; Russia; 15LLC “Novosibirsk Center of Reproductive medicine”, Group of companies “Mother and child”, Novosibirsk; Russia; 16Peoples' Friendship University of Russia, Moscow, Russia; 17Lomonosov Moscow State University, Moscow, Russia; 18St. Petersburg State Healthcare Institution “Diagnostic Center (Medical and Genetic)”, Saint Petersburg, Russia; 19FGBOU VO Rostov State Medical University of the Ministry of Health of the Russian Federation, Rostov-on-Don, Russia; 20GBUZ “MC “Dynasty”, Samara, Russia; 21Center of reproductive medicine “Scanfert”, Moscow, Russia; 22Medical and Genetic Center "NovaClinic”, Moscow, Russia; 23FGBOU VO South Ural State Medical University, Chelyabinsk, Russia; 24Clinic of Reproduction “DNA”, Chelyabinsk, Russia; 25FGBOU VO Dagestan State Medical University, Makhachkala, Russia; 26Medical Center “Family”, Makhachkala, Russia; 27FGBNU “Medical Genetic Research Center named after academician N.P. Bochkov», Moscow, Russia; 28FGBOU VO Samara State Medical University of the Ministry of Health of Russia, Samara, Russia; 29Center of Treatment of Infertility of the IDK Medical Company, Samara, Russia
A review of controversial issues about the terminology on male infertility and reproductive function, which is currently used, as well as proposals for updating clinical guidelines for the diagnosis and treatment of male infertility and men in infertile couples are presented in the article. An algorithm is described, the elements of which ensure referral of patients based on the possibility and timing of restoration of reproductive function, taking into account the reproductive health of a woman, as well as increasing the likelihood of successful treatment aimed at the birth of a healthy child.
Keywords: diagnostic and treatment algorithm, infertile couple, semen analysis, male infertility, clinical guidelines
About the Autors
Corresponding author: I.A. Korneev – Ph.D., MD, professor, professor at the Department of Urology of Pavlov First Saint Petersburg State Medical University of the Ministry of Health of Russia, Medical Director of the International center of the Reproductive Medicine, Saint Petersburg, Russia; e-mail: iakorneyev@yandex.ru
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