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Rationelle Diagnostik und Therapie des kinderlosen Mannes

Rational diagnosis and treatment of male infertility

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Zusammenfassung

Die andrologische Diagnostik klärt durch die sorgfältige (Paar‑)Anamnese unter Berücksichtigung besonderer Risikofaktoren, einer Skrotalsonographie, einer Hormon- und Ejakulatdiagnostik Störungen der Zeugungsfähigkeit ab. Bei schweren Fertilitätsstörungen ist die genetische Differentialdiagnostik indiziert. Therapeutisch werden präventive, medikamentöse oder operative Behandlungsverfahren je nach Befund eingesetzt, die ggf. um die assistierten reproduktiven Maßnahmen in Abhängigkeit von der Gesamtkonstellation des Paares ergänzt werden.

Abstract

Male infertility can be diagnosed by evaluation of the (female and) male history with respect to risk factors, and includes scrotal sonography, hormone and semen measurements. In severe male factor infertility, genetic testing is indicated. Treatment options vary between preventive, medical or surgical strategies depending on the underlying diagnosis. Assisted reproductive techniques may be applied as a consequence of the couple’s infertility profile.

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Authors and Affiliations

  1. Department of Clinical and Surgical Andrology, Centre of Reproductive Medicine and Andrology, WHO Collaborating Center for Research in Male Fertility, Training Center of the European Academy of Andrology, University Clinics of Muenster, 48149, Münster, Deutschland

    S. Kliesch

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S. Kliesch gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Kliesch, S. Rationelle Diagnostik und Therapie des kinderlosen Mannes. Urologe 56, 1116–1128 (2017). https://doi.org/10.1007/s00120-017-0455-8

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