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[The urologist's role in assisted reproductive technology (ART)]
Eric Huyghe1, Charlotte Methorst2, Frédéric Lamazou3
1Département d'urologie, hôpital de Rangueil, CHU de Toulouse, Toulouse, France; Service de médecine de la reproduction, hôpital Paule-de-Viguier, CHU de Toulouse, Toulouse, France; UMR DEFE, Inserm 1203, université de Toulouse, université de Montpellier, Toulouse, France.
Urologists play a crucial role in managing male infertility within couples undergoing assisted reproductive technology (ART). Early assessment and specialized uro-andrology care significantly improve male fertility outcomes and preconception health.
Area of Science:
- Reproductive Medicine
- Urology
- Andrology
Context:
- The study addresses Objective 13 of a 2022 French national strategy focused on improving male infertility diagnosis.
- It clarifies the urologist's role in managing infertile couples, building upon a national report.
Purpose:
- To define the specific responsibilities of urologists in the comprehensive management of male infertility.
- To establish expert consensus on the integration of uro-andrology within assisted reproductive technology (ART) pathways.
Summary:
- Expert consensus recommends assessing both partners' fertility initially.
- Referral to a uro-andrologist is advised for abnormal findings or ART failures to optimize male fertility through medical or surgical treatments.
- Uro-andrologists should also manage men's health pre-conception for improved outcomes for both the individual and offspring.
Impact:
- Highlights the essential role of uro-andrologists in ART success.
- Emphasizes the need for specialized training in andrology for urologists.
- Underscores the importance of addressing male factor infertility proactively within reproductive healthcare systems.
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