频率,发病率和公平 - - 需要增加对男性生育能力的研究
Sarah Kimmins1,2,3, Richard A Anderson4, Christopher L R Barratt5
1Department of Pharmacology and Therapeutics, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Nature reviews. Urology
|October 12, 2023
概括
由于对生殖健康的知识有限,大多数男性不孕不育病例缺乏明确的原因. 推进研究和个性化医学对于有效的男性生育治疗和理解系统性健康联系至关重要.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 遗传学与环境研究
背景情况:
- 大多数男性不孕不育病例缺乏明确的病因,突出显示了对配体生产的理解上的差距.
- 男性不孕症经常被忽视为系统性疾病的潜在生物标志物.
- 目前的治疗主要使用医疗辅助生殖 (MAR) 技术,绕过因果关系并将负担转移到女性身上.
研究的目的:
- 强调需要对男性生殖健康进行先进的研究.
- 倡导综合数据收集计划,重点关注遗传学,表观遗传学和环境因素.
- 解决MAR对后代的影响,促进生育能力的恢复.
主要方法:
- 摘要表明需要纵向,跨国数据和样本收集中心.
- 它要求对协议进行严格的测试,并采用个性化医疗方法.
- 它强调需要公共,政府和临床教育不孕不育.
主要成果:
- 目前对男性不孕不育的方法未能确定原因,并错过了预防并发症的机会.
- 对于MAR对被怀孕的孩子的长期影响缺乏了解.
- 包括男性避孕药在内的健康选择的扩展是不发达的.
结论:
- 推进男性生殖健康需要对遗传,表观遗传和环境影响进行综合研究.
- 个性化医疗和少入侵的MAR策略是必不可少的.
- 提高认识和扩大健康选择,包括男性避孕药,对于男性生殖健康至关重要.
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