Practical clinical and diagnostic pathway for the investigation of the infertile couple

Garolla, Andrea and Pizzol, Damiano and Carosso, Andrea and Borini, Andrea and Ubaldi, Flippo and Calogero, Aldo and Ferlin, Alberto and Lanzone, Antonio and Tomei, Francesco and Engl, Bruno and Rienzi, Laura and Santis, Lucia and Coticchio, Giovanni and Smith, Lee and Cannarella, Rossella and Anastasi, Attilio and Menegazzo, Massimo and Stuppia, Liborio and Corsini, Christian and Foresta, Carlo (2021) Practical clinical and diagnostic pathway for the investigation of the infertile couple. Frontiers in Endocrinology, 11. p. 591837. ISSN 1664-2392

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Capsule: This expert opinion summarizes current knowledge on risk factors for infertility and identifies a practical clinical and diagnostic approach for the male and female partners of an infertile couple aimed to improve the investigation and management of fertility problems. Background: Infertility represents an important and growing health problem affecting up to 16% of couples worldwide. In most cases, male, female, or combined factor can be identified, and different causes or risk factors have been related to this condition. However, there are no standardized guidelines on the clinical-diagnostic approach of infertile couples and the recommendations concerning infertility are sometimes lacking, incomplete, or problematic to apply. Objective: The aim of this work is to provide an appropriate clinical and diagnostic pathway for infertile couples designed by a multidisciplinary-team of experts. The rationale is based on the history and physical examination and then oriented on the basis of initial investigations. This approach could be applied in order to reduce variation in practice and to improve the investigation and management of fertility problems. Methods: Prominent Italian experts of the main specialties committed in the ART procedures, including gynecologists, andrologists, embryologists, biologists, geneticists, oncologists, and microbiologists, called “InfertilItaly group”, used available evidence to develop this expert position. Outcomes: Starting from the individuation of the principal risk factors that may influence the fertility of females and males and both genders, the work group identified most appropriate procedures using a gradual approach to both partners aimed to obtain a precise diagnosis and the most effective therapeutic option, reducing invasive and occasionally redundant procedures. Conclusions: This expert position provides current knowledge on risk factors and suggests a diagnostic workflow of infertile couples. By using this step-by-step approach, health care workers involved in ART, may individuate a practical clinical management of infertile couples shared by experts.

Item Type: Journal Article
Keywords: infertile, treatment, review, infertility diagnosis, expert opinion, female infertility, couple infertility, male infertility, reproduction
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 26 Nov 2020 09:41
Last Modified: 09 Sep 2021 18:51

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