Empiric therapy for idiopathic oligoasthenoteratozoospermia.

R García-Baquero, C M Fernández-Ávila, J L Álvarez-Ossorio

Journal: Actas urologicas espanolas 2021;44(5):281-288

PMID: 32284159

Full Text on Elsevier Science View on PubMed

Abstract

Male infertility accounts for 50% of the causes of infertile couples, being more than 30% of unknown etiology. In these cases, empiric treatment can be an option prior to the application of assisted reproduction techniques. Empiric treatment can be categorized as hormonal, such as gonadotropins, antiestrogens and aromatase inhibitors, and antioxidant, with vitamins, trace elements and carnitine, among others. Although scientifically acceptable evidence is limited due to the absence of large randomized and controlled clinical trials, recent systematic reviews and meta-analyses show that treatment with gonadotropins, antiestrogens and antioxidants increases pregnancy and live birth rates and improves seminal parameters. Empiric medical treatment for idiopathic infertility can be considered in specific cases in order to improve semen quality and spontaneous fertility.

Address: Unidad de Andrología y Cirugía Reconstructiva Urogenital, Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España. Electronic address: [email protected].; Unidad de Andrología y Cirugía Reconstructiva Urogenital, Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España.

DOI: 10.1016/j.acuro.2019.10.007

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MeSH Terms: Algorithms, Asthenozoospermia, Humans, Male, Oligospermia