SARS‐CoV‐2 pandemic and repercussions for male infertility patients: A proposal for the individualized provision of andrological services
Male
Opinion
Urology
Endocrinology, Diabetes and Metabolism
male infertility
semen analysis
Systemic auto-immune diseases
Health Services Accessibility
SARS-CoV-2, azoospermia, male infertility, opinion, semen analysis, sperm banking, systemic auto-immune diseases
azoospermia; male infertility; opinion; SARS-CoV-2; semen analysis; sperm banking; systemic auto-immune diseases
03 medical and health sciences
Endocrinology
0302 clinical medicine
NONOBSTRUCTIVE AZOOSPERMIA
MANAGEMENT
SPERM BANKING
Humans
SPERMATOGENESIS
HYPOGONADOTROPIC HYPOGONADISM
OXIDATIVE STRESS
Andrology
Infertility, Male
Azoospermia; Male infertility; Opinion; SARS-CoV-2; Semen analysis; Sperm banking; Systemic auto-immune diseases
Azoospermia
Male infertility
Health Services Needs and Demand
systemic auto-immune diseases
SARS-CoV-2
azoospermia
opinion
COVID-19
MEN
CANCER
3. Good health
Sperm banking
Reproductive Medicine
sperm banking
Semen analysis
FERTILITY PRESERVATION
Needs Assessment
INFLAMMATORY-BOWEL-DISEASE
DOI:
10.1111/andr.12809
Publication Date:
2020-05-01T19:04:20Z
AUTHORS (27)
ABSTRACT
AbstractThe prolonged lockdown of health facilities providing non‐urgent gamete cryopreservation—as currently recommended by many reproductive medicine entities and regulatory authorities due to the SARS‐CoV‐2 pandemic will be detrimental for subgroups of male infertility patients. We believe the existing recommendations should be promptly modified and propose that the same permissive approach for sperm banking granted for men with cancer is expanded to other groups of vulnerable patients. These groups include infertility patients (eg, azoospermic and cryptozoospermic) undergoing medical or surgical treatment to improve sperm quantity and quality, as well as males of reproductive age affected by inflammatory and systemic auto‐immune diseases who are about to start treatment with gonadotoxic drugs or who are under remission. In both scenarios, the “fertility window” may be transitory; postponing diagnostic semen analysis and sperm banking in these men could compromise the prospects of biological parenthood. Moreover, we provide recommendations on how to continue the provision of andrological services in a considered manner and a safe environment. Our opinion is timely and relevant given the fact that fertility services are currently rated as of low priority in most countries.
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