Review Special Issue Series: Old and New Challenges in the Management of Male Factor Infertility

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Reproductive Medicine & Andrology".

Deadline for manuscript submissions: 20 July 2024 | Viewed by 895

Special Issue Editors


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Guest Editor
Andrology and IVF Center, Next Fertility Procrea, Lugano, Switzerland
Interests: azoospermia (non-obstructive and obstructive); surgical sperm retrieval for ICSI; epididymis pathology in male infertility; seminal tract surgery; severe male infertility (all kinds); sperm DNA fragmentation in clinical practice; varicocele
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Guest Editor
Department of Maternal and Child Health, Reproductive and IVF Unit, Asl Bari, Conversano, Italy
Interests: male infertility; non-obstructive azoospermia; hormonal treatment of male infertility; epigenetic factors; infertility
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Review Special Issue Series, entitled “Old and New Challenges in the Management of Male Factor Infertility”, is committed to presenting an exclusive collection of comprehensive reviews.

Although the infertility of couples is caused by a male factor in 30-50% of cases, an adequate (or even any) andrological assessment of the male partner is seldom obtained, the assumption being that only the male gamete, and not the human subject, matters in the achievement of oocyte fertilization and pregnancy, regardless of the man’s health condition. This represents a clear case of gender discrimination. The reproductive ability of couples with severe male factor infertility may be significantly impaired without the appropriate medical or surgical management of the severe spermatogenic dysfunction; on the other hand, couples are referred to donor sperm IUI or IVF when the male partner is azoospermic, without attempting to individuate the cause and the possible medical or surgical treatment applicable to such a condition. Managing infertile couples in such a way may expose couples to an increased risk of treatment failure; in addition, since male infertility has been proposed as an independent risk factor for poor health status and early mortality, if infertile men are evaluated early in life, there is an opportunity for health assessment, counseling, and disease prevention. Clinical training in male infertility is most commonly an aspect of andrology training; however, some urologists or endocrinologists may have little experience in the counseling and management of infertile men. The purpose of the present Special Issue is, therefore, thanks to the contribution of internationally renowned experts in the field, to provide the readers with a comprehensive and evidence-based update on the challenges faced in the management of male factor infertility.

Prof. Dr. Giovanni M. Colpi
Dr. Ettore Caroppo
Guest Editors

Manuscript Submission Information

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Keywords

  • male infertility
  • male gamete
  • reproductive ability
  • surgical management
  • spermatogenic dysfunction

Published Papers (1 paper)

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Review

10 pages, 552 KiB  
Review
Partial Epididymal Obstruction as a Cause of Idiopathic Oligozoospermia: A Reproductive Urologist’s Perspective Following 35 Years of Surgical and Clinical Experience
by Giovanni M. Colpi and Ettore Caroppo
J. Clin. Med. 2024, 13(2), 382; https://doi.org/10.3390/jcm13020382 - 10 Jan 2024
Viewed by 686
Abstract
The role of partial epididymal obstruction as contributing to the development of oligozoospermia has been neglected for decades. In the early 1970s, however, Robert Schoysman, a gynecological surgeon devoted to the surgical and medical management of male factor infertility, dedicated many efforts to [...] Read more.
The role of partial epididymal obstruction as contributing to the development of oligozoospermia has been neglected for decades. In the early 1970s, however, Robert Schoysman, a gynecological surgeon devoted to the surgical and medical management of male factor infertility, dedicated many efforts to study such a pathology and its possible effects on male fertility. Following the studies of this pioneer in the field, we concentrated our attention to the patterns of partial and complete epididymal obstruction during surgical scrotal exploration, once made possible even in oligozoospermic men by diagnostic and therapeutic interventions, such as vasovesciculography or seminal tract washout test, at present considered obsolete and no longer feasible in light of the current guidelines. Interestingly, we found signs of partial epididymal obstruction in about 30% of oligozoospermic men with normal testicular volume and serum FSH level as well as normal spermatogenesis at testis biopsy. We, then, compared the findings of scrotal ultrasound with those of scrotal exploration and found that the ultrasound abnormalities of the epididymis were highly predictive of anatomic alteration of the gland. In the present study, we report our experience, together with a historical review of the literature, on this topic. Full article
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