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Spermiogramm bei unerfülltem Kinderwunsch

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Semen analysis in involuntary childlessness

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Zusammenfassung

Unerfüllter Kinderwunsch ist ein häufiges Problem. In etwa der Hälfte der Fälle spielt dabei eine eingeschränkte Spermienqualität eine relevante Rolle. Das Spermiogramm spiegelt die exokrine Funktion der männlichen reproduktiven Organe Hoden, Nebenhoden, Bläschendrüsen, Prostata und Samenleiter wider. Es ist aber nur zusammen mit der Anamnese und körperlichen Untersuchung geeignet, relevante Störungen und häufig auch deren Ursachen zu identifizieren. Dabei ist die grundlegende Interpretation eines Spermiogramms leicht zu erlernen und gehört traditionell in das Handwerkszeug der Dermatologie. Dieser Beitrag erläutert die für ein Routinespermiogramm zu erhebenden Parameter mit ihren Referenzwerten. Darüber hinaus werden häufige Ursachen für etwaige Abweichungen besprochen, um weitere andrologische Schritte veranlassen zu können. Die Interpretation der Fertilität geschieht dabei immer vor dem Hintergrund der Paarkonstellation.

Abstract

Involuntary childlessness is a common problem. In about 50 % of cases, inadequate semen quality plays a relevant role. A semen analysis provides information regarding exocrine function of the male reproductive organs of the testes, epidydimis, seminal vesicles, prostate gland, and vas deferens. These parameters can only be interpreted in conjunction with medical history and physical examination. Then they can be useful to identify relevant disorders or the causes of these disturbances. The fundamental principles for the interpretation of a semen analysis are easily learned and traditionally belong to the field of dermatology. This article explains the variables which are examined in a routine semen analysis as well as the reference values. Furthermore, common causes for deviations from the normal values are discussed to allow decision-making for further diagnostic workup. The interpretation of these values must always take into account the situation of the couple.

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Authors and Affiliations

  1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum, Theodor-Stern-Kai 7, 60590, Frankfurt/M., Deutschland

    T. Weberschock MSc (Epi), A. Valipour & F. Ochsendorf

  2. Arbeitsgruppe Evidenzbasierte Medizin, Institut für Allgemeinmedizin, Goethe-Universität, Frankfurt, Deutschland

    T. Weberschock MSc (Epi)

Authors
  1. T. Weberschock MSc (Epi)
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  2. A. Valipour
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  3. F. Ochsendorf
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Correspondence to T. Weberschock MSc (Epi).

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Interessenkonflikt

T. Weberschock, A. Valipour und F. Ochsendorf geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Weberschock, T., Valipour, A. & Ochsendorf, F. Spermiogramm bei unerfülltem Kinderwunsch. Hautarzt 66, 924–932 (2015). https://doi.org/10.1007/s00105-015-3707-9

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  • DOI: https://doi.org/10.1007/s00105-015-3707-9

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