Empiric therapy for idiopathic oligoasthenoteratozoospermia
- PMID: 32284159
- DOI: 10.1016/j.acuro.2019.10.007
Empiric therapy for idiopathic oligoasthenoteratozoospermia
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.
Keywords: Empiric treatment; Idiopathic male infertility; Idiopathic oligoasthenoteratozoospermia; Infertilidad masculina idiopática; Oligoastenoteratozoospermia idiopática; Tratamiento empírico.
Copyright © 2020 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.
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