To retrospectively validate the American Society for Reproductive Medicine (ASRM) guidelines/recommendations concerning endocrine evaluation in a cohort of white European men presenting for couple's infertility.Retrospective study.Academic reproductive medicine outpatient clinic.Cohort of 1,056 consecutive infertile men (noninterracial infertile couples).Testicular volume was assessed with a Prader orchidometer. Serum hormones were measured (8-10 a.m.) in all cases. Hypogonadism was defined as total T < 3 ng/mL, according to the Endocrine Society definition. Semen analysis values were assessed based on the 2010 World Health Organisation reference criteria.ASRM indications for endocrine assessment in infertile men (sperm concentration <10 million/mL, impaired sexual function, and other clinical findings suggesting a specific endocrinopathy) were used to predict hypogonadism in our cohort. Moreover, a clinically user-friendly three-item nomogram was developed to predict hypogonadism and was compared to the ASRM guidelines assessment.Biochemical hypogonadism was diagnosed in 156 (14.8
作者:Eugenio, Ventimiglia;Paolo, Capogrosso;Luca, Boeri;Silvia, Ippolito;Roberta, Scano;Marco, Moschini;Giorgio, Gandaglia;Enrico, Papaleo;Francesco, Montorsi;Andrea, Salonia
来源:Fertility and sterility 2016 年 106卷 5期