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与不孕不育和非梗阻性无精子症相关的健康风险。

Health risks associated with infertility and non-obstructive azoospermia.

作者信息

Huyghe Eric, Chiu Peter Ka-Fung

机构信息

University Hospital of Toulouse, Toulouse 31300, France.

The Research Unit UMR DEFE (Development Embryon Fertility Environment), University of Toulouse III, University of Montpellier, Montpellier 34090, France.

出版信息

Asian J Androl. 2025 May 1;27(3):428-432. doi: 10.4103/aja20256. Epub 2025 Apr 15.

Abstract

Non-obstructive azoospermia is a common condition associated with significant health risks, including increased mortality, cancer, and chronic diseases such as metabolic and cardiovascular disorders. This review aims to highlight the potential health challenges faced by men with this condition compared to fertile counterparts. Through a comprehensive bibliographic search on PubMed, using the following algorithm: ("infertility, male" [MeSH Terms] OR "azoospermia" [MeSH Terms]) AND ("mortality" [MeSH Terms] OR "neoplasms" [MeSH Terms] OR "chronic disease" [MeSH Terms] OR "diabetes mellitus" [MeSH Terms] OR "heart diseases" [MeSH Terms]), we analyzed existing literature to explore the associations between infertility, specifically azoospermia, and adverse health outcomes. Findings indicate that infertile men are at a higher risk of death, various cancers (particularly testicular cancer), metabolic syndrome, diabetes, hypogonadism, and cardiovascular disease. Although research specifically addressing azoospermia is limited, available studies support the notion that men with this condition may experience heightened health vulnerabilities. Given these risks, it is imperative for healthcare professionals, especially urologists, to conduct thorough health assessments for men diagnosed with azoospermia. Informing patients of these potential health issues and integrating comprehensive evaluations into their care can facilitate early detection and intervention for life-threatening conditions. Ultimately, men with azoospermia should receive ongoing monitoring to address their specific health concerns, thus improving their long-term health outcomes.

摘要

非梗阻性无精子症是一种常见病症,伴有重大健康风险,包括死亡率增加、患癌风险以及代谢和心血管疾病等慢性疾病。本综述旨在强调与可育男性相比,患有这种病症的男性所面临的潜在健康挑战。通过在PubMed上进行全面的文献检索,使用以下算法:(“男性不育”[医学主题词]或“无精子症”[医学主题词])与(“死亡率”[医学主题词]或“肿瘤”[医学主题词]或“慢性病”[医学主题词]或“糖尿病”[医学主题词]或“心脏病”[医学主题词]),我们分析了现有文献,以探讨不育症,特别是无精子症与不良健康结局之间的关联。研究结果表明,不育男性死亡、患各种癌症(尤其是睾丸癌)、代谢综合征、糖尿病、性腺功能减退和心血管疾病的风险更高。尽管专门针对无精子症的研究有限,但现有研究支持这样一种观点,即患有这种病症的男性可能面临更高的健康脆弱性。鉴于这些风险,医疗保健专业人员,尤其是泌尿科医生,必须对被诊断为无精子症的男性进行全面的健康评估。告知患者这些潜在的健康问题,并将全面评估纳入他们的治疗过程中,有助于早期发现和干预危及生命的病症。最终,患有无精子症的男性应接受持续监测,以解决他们具体的健康问题,从而改善他们的长期健康结局。

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本文引用的文献

1
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Medicina (Kaunas). 2023 Jul 14;59(7):1305. doi: 10.3390/medicina59071305.
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Int J Urol. 2023 Jul;30(7):614-615. doi: 10.1111/iju.15179. Epub 2023 Mar 20.
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