Laboratory of Translational Research, Christus University (UNICHRISTUS), Fortaleza, CE, Brazil.
Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
JBRA Assist Reprod. 2021 Oct 4;25(4):592-600. doi: 10.5935/1518-0557.20210013.
Male infertility accounts for about 30% of the causes of couple infertility and has become a public health concern. Male infertility may be caused by several factors occurring in isolation or association with several complex syndromes. Despite the importance of semen analysis in the initial investigation of infertility, it has been estimated that 15% of infertile men present normal sperm, a proportion that calls for additional tests to further investigate cases of infertility and accurately determine the factors that alter ejaculate quality. In addition to semen analysis parameters, genetics has been drawing attention. The incorporation of genetic diagnostic methods in the routine practice of andrology laboratories is an important step to further improve assisted reproductive technologies. The present study described the current status of the main methods used in male infertility investigation.
男性不育约占夫妇不育原因的 30%,已成为公共卫生关注的问题。男性不育可能由单独发生或与几种复杂综合征相关的多个因素引起。尽管精液分析在不育症的初步检查中很重要,但据估计,15%的不育男性的精子正常,这一比例需要进行额外的检查,以进一步调查不育症病例,并准确确定改变精液质量的因素。除了精液分析参数外,遗传学也引起了关注。将遗传诊断方法纳入男科实验室的常规实践是进一步改进辅助生殖技术的重要步骤。本研究描述了男性不育症研究中主要方法的现状。