TLDR A thorough initial check-up is essential before sperm banking to ensure the best chance of preserving good quality sperm.
The document from October 29, 2017, emphasizes the critical nature of a comprehensive initial consultation and workup prior to sperm banking. It outlines the necessity of evaluating a patient's medical, surgical, and reproductive history, as well as lifestyle factors that could influence fertility, such as alcohol and tobacco use. The document discusses how medications, especially those affecting the hypothalamic-pituitary axis, and physical conditions like varicoceles and testicular size, can impact sperm production and quality. It stresses the importance of semen analysis, which should be performed multiple times due to variability, and the consideration of World Health Organization standards, despite some controversy. Additionally, the document highlights the need for hormonal analysis, genetic testing, and imaging in certain cases to assess and optimize male fertility. It concludes that a thorough evaluation is essential for the best chance of preserving a viable sperm specimen, especially given the increasing age of childbearing and associated infertility risks.
15 citations,
October 2012 in “International Urology and Nephrology” Low-dose finasteride may cause fertility issues, but stopping it can improve sperm quality and lead to pregnancy.
195 citations,
February 2007 in “The Journal of Clinical Endocrinology and Metabolism” Dutasteride and finasteride may reduce sperm count and volume but don't affect movement or shape; effects are reversible after stopping.
November 2013 in “John Wiley & Sons, Ltd eBooks” The document concludes that accurate diagnosis of male and female gonadal disorders is crucial for effective treatment and better patient outcomes.
104 citations,
October 1999 in “The Journal of Urology” Finasteride doesn't harm male fertility or sperm quality, but may slightly reduce ejaculate volume.
November 2023 in “Brain Sciences” Some medications might contribute to male infertility, with finasteride showing a high number of reports.
17 citations,
May 2021 in “Journal of Assisted Reproduction and Genetics” COVID-19 may harm male fertility and damage the reproductive system.
April 2023 in “Clinical Chemistry and Laboratory Medicine” The document concludes that inflammation markers can be used in diabetes, vitamin D3 affects immune pathways, hyperthyroidism changes hormone levels, androgen levels help diagnose Adrenocortical Carcinoma, erectile dysfunction is linked to diabetes, hypogonadism is common in HIV-infected males, and hormones can be biomarkers for various conditions.
