Moskowitz M O, Mellinger B C
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urol Clin North Am. 1992 Feb;19(1):35-45.
Controversy surrounds the role of sexually transmitted diseases in male infertility. Because our understanding of male infertility is limited, and because diagnostic tests such as semen analysis including culture and leukocyte count are variable, definitive conclusions on STDs and their effect on infertility cannot be substantiated. Prospective investigations of infertile couples using appropriate control groups, sophisticated semen collection protocols, proper microbiologic techniques, and standardization of seminal fluid analysis are required to understand the role of STDs in male infertility. Regardless of the ongoing research to delineate the role of STDs in male infertility, advocating primary prevention by increasing public awareness of the negative effects of STDs and the use of contraceptive methods to prevent the spread of STDs is mandatory for the health care professional.
性传播疾病在男性不育中所起的作用存在争议。由于我们对男性不育的了解有限，而且诸如精液分析（包括培养和白细胞计数）等诊断测试结果存在差异，因此关于性传播疾病及其对不育影响的明确结论无法得到证实。需要对不育夫妇进行前瞻性研究，并使用适当的对照组、完善的精液采集方案、恰当的微生物学技术以及精液分析的标准化，以了解性传播疾病在男性不育中的作用。尽管目前正在进行研究以阐明性传播疾病在男性不育中的作用，但对于医疗保健专业人员而言，倡导通过提高公众对性传播疾病负面影响的认识以及使用避孕方法来预防性传播疾病的传播进行一级预防是必不可少的。
