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Pre-IVF Evaluation of the Infertile Man

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In Vitro Fertilization

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Abstract

In vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) have revolutionized the treatment of male factor infertility. However, it is still critically important to fully evaluate the male with a well-considered history, comprehensive physical examination, and appropriate hormonal and genetic assays in order to arrive at as precise a diagnosis as possible prior to the institution of therapy. This allows the couple to be fully informed about the options available to them, including ones that may result in an improvement in sperm parameters and fertility, result in subsequent natural conception, a move to intrauterine insemination from anticipated IVF, or an enhancement of IVF/ICSI success. Conditions or syndromes with general health implications are discovered with a complete work-up and the genetic basis of many can be elucidated. If the perspective is that the potential child that we are helping to create is part of the total equation, then any genetic maladies that might be transmitted to him/her should be determined and the couple educated about them with the options to possibly prevent that transmission discussed.

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Authors and Affiliations

  1. Department of Urology, Boston Medical Center, Boston, MA, 02118, USA

    Brooke Harnisch M.D

  2. Department of Urology, Boston University School of Medicine, 725 Albany Street, Suite 3B, Boston, MA, 02118, USA

    Robert D. Oates M.D.

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  1. Brooke Harnisch M.D
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Correspondence to Robert D. Oates M.D. .

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Editors and Affiliations

  1. and Infertility, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Francis St 75, Boston, 02115, Massachusetts, USA

    Elizabeth S. Ginsburg

  2. and Infertility, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinlogy, Francis St. 75, Boston, 02115, Massachusetts, USA

    Catherine Racowsky

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Harnisch, B., Oates, R.D. (2012). Pre-IVF Evaluation of the Infertile Man. In: Ginsburg, E., Racowsky, C. (eds) In Vitro Fertilization. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9848-4_2

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