门诊就诊。

The office visit.

机构信息

Department of Urology, University of Virginia, PO Box 800422, Charlottesville, VA 22908, USA.

出版信息

Urol Clin North Am. 2014 Feb;41(1):19-37. doi: 10.1016/j.ucl.2013.08.002. Epub 2013 Oct 7.

DOI:10.1016/j.ucl.2013.08.002

Abstract

This article summarizes the current office-based evaluation of male infertility and offers speculation, based on current research, on the future evolution of this encounter. A comprehensive history, physical examination, and semen analysis remain paramount to directing the evaluation; however, new advances continue to refine diagnostic and treatment algorithms. Interpretation of the routine semen analysis as well as adjunctive assessments, including reactive oxygen species, DNA fragmentation, and fluorescent in situ hybridization (FISH) are discussed. The analysis of genetic and endocrine abnormalities is reviewed.

摘要

本文总结了目前基于门诊的男性不育评估，并根据当前研究对这种就诊的未来发展进行了推测。全面的病史、体格检查和精液分析仍然是指导评估的关键；然而，新的进展不断完善诊断和治疗算法。讨论了常规精液分析的解读以及辅助评估，包括活性氧、DNA 碎片化和荧光原位杂交 (FISH)。还回顾了遗传和内分泌异常的分析。