Schiff Jonathan D, Ramírez Michelle L, Bar-Chama Natan
Department of Urology, Mount Sinai School of Medicine, Mount Sinai Medical Center, 1 Gustave L. Levy P., New York, NY 10029, USA.
Endocrinol Metab Clin North Am. 2007 Jun;36(2):313-31. doi: 10.1016/j.ecl.2007.03.003.
Male infertility is the result of a variety of highly treatable conditions. The critical step in treating male infertility is to evaluate properly every male partner of an infertile couple and to generate the proper treatment strategy. There are many medical and surgical options that can help most couples overcome male factor infertility. Male infertility can most easily be broken down into problems of sperm production (testicular dysfunction) and problems of sperm transport (obstruction). When applicable, medical therapies are used as an initial strategy to improve sperm production or as a preliminary therapy to boost production transiently in anticipation of a surgical sperm retrieval attempt. A range of surgical options is available to correct varicoceles, reconstruct the obstructed system, or retrieve sperm for assisted reproduction.
男性不育是多种极易治疗的病症所导致的结果。治疗男性不育的关键步骤是对不育夫妇的每一位男性伴侣进行恰当评估，并制定合适的治疗策略。有许多药物和手术治疗方案可帮助大多数夫妇克服男性因素导致的不育问题。男性不育最容易被细分为精子生成问题（睾丸功能障碍）和精子运输问题（梗阻）。在适用的情况下，药物治疗可作为提高精子生成的初始策略，或作为在预期进行手术取精尝试前短暂提高精子生成量的初步治疗方法。有一系列手术方案可用于矫正精索静脉曲张、重建梗阻系统或获取精子用于辅助生殖。
