Wilken H, Rösler E M
Zentralbl Gynakol. 1985;107(10):593-604.
An overview is given about possibly preventable causes of infertility. The best chances for prevention are in tubal sterility and ectopic pregnancy. Methods of "primary prevention" are reduction of STD by health education and epidemiologic actions, by reduction and improvement of intrauterine operations in young women. The most important methods in "secondary prevention" are early and optimal treatment of PID and organ preservation in ectopic pregnancy. The difficulties in prophylaxis of endocrine infertility are discussed. For prevention of male infertility some procedures are necessary: Prevention resp. optimal treatment of genital infections, early treatment of development disorders and varicocele and elimination of chemical and physical noxes on male fertility.
本文概述了可能导致不孕的可预防原因。预防的最佳时机在于输卵管性不孕和异位妊娠。“一级预防”方法包括通过健康教育和流行病学行动减少性传播疾病，以及减少和改进年轻女性的宫内手术。“二级预防”中最重要的方法是盆腔炎的早期和最佳治疗以及异位妊娠时的器官保留。文中还讨论了内分泌性不孕预防的难点。为预防男性不育，需要采取一些措施：预防或最佳治疗生殖器感染、发育障碍和精索静脉曲张的早期治疗，以及消除对男性生育能力有影响的化学和物理有害物质。
