Andrology: Reproductive years and beyond

Chung, Eric (2012) Andrology: Reproductive years and beyond. Australian Family Physician, 41 10: 758-761.

Author Chung, Eric
Title Andrology: Reproductive years and beyond
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2012-10
Sub-type Article (original research)
Open Access Status
Volume 41
Issue 10
Start page 758
End page 761
Total pages 4
Place of publication South Melbourne, Australia
Publisher Royal Australian College of General Practitioners
Language eng
Formatted abstract
Background: In recent years, significant advances have been made in our knowledge of the role of testosterone in male fertility and sexual function. In addition, new microsurgical techniques have improved outcomes in testicular biopsy for sperm retrieval, varicocoele treatment and vasectomy reversal. Objective: This article provides an update on the assessment and treatment of male infertility, and the role of testosterone replacement therapy and erectile dysfunction. Discussion: The evaluation of male infertility requires comprehensive history taking and a focused examination. Investigations that help form the basis for important treatment decisions include semen analysis and hormone testing. Further specialist assessment may be required to determine the need for genetic testing. There is increased evidence for the role of microsurgery in sperm retrieval, varicocelectomy and vasectomy reversal in men seeking paternity. Testosterone plays a role in both spermatogenesis and sexual functioning in a man. While testosterone replacement therapy can restore erections in androgen deficient men and treat other conditions related to hypogonadism, it can also result in male infertility.
Keyword Infertility/male
Physical examination
Diagnostic techniques
Male-infertility
Varicocele repair
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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