American Urological Association Releases Male Infertility Guideline Amendment
August 15 2024 - 10:13AM
Today, the American Urological Association (AUA), in partnership
with the American Society for Reproductive Medicine (ASRM),
released the 2024 amendment to the Male Infertility Guideline.
The purpose of this Guideline is to outline the appropriate
evaluation and management of the male partner in an infertile
couple. Recommendations proceed from obtaining an appropriate
history and physical exam, as well as diagnostic testing, where
indicated. Medical therapies, surgical techniques, and use of IUI
and ART are covered to allow for optimal patient management. The
2024 amendment has introduced new evidence to support updated
information on the evaluation and management of male
infertility.
“We are excited to share this updated version of the Male
Infertility Guideline. This amendment builds on the outstanding,
inaugural version of the Male Infertility Guideline that was
published in 2021,” said Guideline Amendment Chair Dr. Robert E.
Brannigan, Professor of Urology at Northwestern University,
Feinberg School of Medicine. “The updated Guideline includes
numerous new, important recommendations that will enhance the
ability of urologists to provide optimal, state-of-the-art care for
infertile males
This Guideline has 54 recommendations and serves as a useful
reference on effective, evidence-based care as it relates to male
infertility.
The Guideline amendment highlights the following:
- Update to a recommendation on evaluating azoospermic
patients
- Update to a recommendation on karyotype testing
- Updates on which imaging modalities should or should not be
used when evaluating patients
- A new recommendation on utilization of testicular sperm in
nonazoospermic patients
- Updates to the WHO reference ranges for human semen
characteristics
- A new table defining common terms in semen analysis
“Male infertility contributes to 50% of cases and also provides
a window into male general health,” said Paula Amato, MD, ASRM
President. “These guidelines will assist health care providers with
the evaluation and management of male infertility, leading to
improved male reproductive potential, offspring health and men's
general health.”
The full Guideline is now available
at: auanet.org/MaleInfertilityGuideline2024
A summary of the Guideline also appears at:
Brannigan RE, Hermanson L, Kaczmarek J, Kim SK, Kirkby E,
Tanrikut C. Updates to male infertility: AUA/ASRM guideline (2024).
J Urol. Published online August 15, 2024.
doi:10.1097/JU.0000000000004180
https://www.auajournals.org/doi/10.1097/JU.0000000000004180
About the American Urological Association: Founded in
1902 and headquartered near Baltimore, Maryland, the American
Urological Association is a leading advocate for the specialty of
urology, and has more than 25,000 members throughout the world. The
AUA is a premier urologic association, providing invaluable support
to the urologic community as it pursues its mission of fostering
the highest standards of urologic care through education, research
and the formulation of health policy.
- American Urological Association Releases Male Infertility
Guideline Amendment
Corey Del Bianco
American Urological Association
443-909-4033
cdelbianco@auanet.org