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Reproductive Urology Consultation Is an Opportunity to Evaluate for Medical Comorbidity: The Prevalence of Elevated
Daniel R Greenberg1, Evan J Panken1, Mary Kate Keeter1
1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Cureus
|April 29, 2024
Summary
Elevated blood pressure (EBP) and obesity are common in men seeking fertility evaluation. Over half of these men have EBP, hypertension (HTN), or obesity, highlighting the need for screening.
Area of Science:
- Reproductive Medicine
- Cardiovascular Health
- Men's Health
Background:
- Elevated blood pressure (EBP) and obesity are significant public health concerns.
- These conditions can impact male reproductive health and fertility outcomes.
- Screening for EBP and obesity is crucial in men presenting for fertility evaluations.
Purpose of the Study:
- To determine the prevalence of EBP, hypertension (HTN), and obesity in men undergoing fertility evaluation.
- To investigate the association between EBP/HTN and obesity in this population.
- To inform clinical practice regarding screening and management.
Main Methods:
- Retrospective analysis of 4,127 men presenting for male infertility consultation (2000-2018).
- Blood pressure (BP) and Body Mass Index (BMI) data were abstracted from electronic health records.
- EBP/HTN defined by AHA/ACC guidelines; obesity defined as BMI ≥ 30 kg/m².
Main Results:
- EBP/HTN was present in 62.6% of men with recorded BP.
- Obesity was recorded in 18.2% of men.
- Higher BMI was significantly associated with EBP/HTN (OR: 1.13, 95% CI: 1.08-1.18, p < 0.001).
Conclusions:
- More than half of men seeking fertility evaluation have EBP, HTN, or obesity.
- Reproductive urologists should consider routine screening for these conditions.
- Early detection and management can potentially improve reproductive and overall health outcomes.
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