دانلود رایگان مقاله لاتین درمان ناباروری از سایت الزویر
عنوان فارسی مقاله:
ارزیابی و درمان ناباروری
عنوان انگلیسی مقاله:
Evaluation and Treatment of Infertility
سال انتشار : 2015
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بخشی از مقاله انگلیسی:
Treatment of Male Infertility
Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases.29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.30-32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology.34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility.
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