Department of Urology, University of California San Francisco, 400 Parnassus Ave, 6th floor Suite 610, San Francisco, CA, 94143, USA.
School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Curr Urol Rep. 2019 Jul 26;20(9):51. doi: 10.1007/s11934-019-0915-3.
To explore non-oncologic indications for male fertility preservation.
Common scenarios in which male fertility could be irreversibly compromised include autoimmune conditions requiring treatment with cyclophosphamide, gender dysphoria prior to starting hormone therapy, military deployment, and critical illness. Fertility preservation should be considered with particular attention to the timing and logistics specific to each scenario. Recognition and familiarity with such situations will help physicians provide better counseling to patients and their families, improve the quality of decision-making, and ultimately reduce missed opportunities and regret.
探讨男性生育力保存的非肿瘤适应证。
可能导致男性生育力不可逆转损害的常见情况包括需要环磷酰胺治疗的自身免疫性疾病、开始激素治疗前的性别焦虑症、军事部署和重病。应特别注意每种情况的时间安排和后勤问题,考虑生育力保存。认识和熟悉这些情况将有助于医生为患者及其家属提供更好的咨询,改善决策质量,并最终减少错失的机会和遗憾。