New York Presbyterian Hospital-Weill Cornell Medical College.
Brown University.
Fertil Steril. 2021 Jan;115(1):54-61. doi: 10.1016/j.fertnstert.2020.11.015. Epub 2020 Dec 9.
The summary presented herein represents Part I of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. Part I outlines the appropriate evaluation of the male in an infertile couple. Recommendations proceed from obtaining an appropriate history and physical exam (Appendix I), as well as diagnostic testing, where indicated.
MATERIALS/METHODS: The Emergency Care Research Institute Evidence-based Practice Center team searched PubMed®, Embase®, and Medline from January, 2000 through May, 2019. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. (Table 1) This summary is being simultaneously published in Fertility and Sterility and The Journal of Urology.
This Guideline provides updated, evidence-based recommendations regarding evaluation of male infertility as well as the association of male infertility with other important health conditions. The detection of male infertility increases the risk of subsequent development of health problems for men. In addition, specific medical conditions are associated with some causes for male infertility. Evaluation and treatment recommendations are summarized in the associated algorithm. (Figure 1) CONCLUSION: The presence of male infertility is crucial to the health of patients and its effects must be considered for the welfare of society. This document will undergo updating as the knowledge regarding current treatments and future treatment options continues to expand.
本文概述了男性不育症诊断与治疗：AUA/ASRM 指南这两部分系列中的第一部分。第一部分概述了对不育夫妇中男性进行适当评估的方法。建议从获取适当的病史和体格检查（附录 I）开始，并在需要时进行诊断性检查。
材料/方法：急诊护理研究学会循证实践中心的团队在 2000 年 1 月至 2019 年 5 月期间在 PubMed®、Embase®和 Medline 上进行了搜索。当存在足够的证据时，证据体被分配 A（高）、B（中）或 C（低）级别的强度评级，以支持强、中或条件推荐。在缺乏足够证据的情况下，提供了更多的临床原则和专家意见。（表 1）本摘要同时发表在《生育与不育》和《泌尿外科杂志》上。
本指南提供了关于男性不育评估以及男性不育与其他重要健康状况之间关联的更新、基于证据的建议。男性不育的发现增加了男性随后出现健康问题的风险。此外，特定的医疗条件与某些男性不育原因有关。评估和治疗建议总结在相关的算法中。（图 1）
男性不育的存在对患者的健康至关重要，必须考虑其对社会福利的影响。随着关于当前治疗方法和未来治疗选择的知识不断扩展，本文件将不断更新。
