Updates to Male Infertility: AUA/ASRM Guideline 2024

August 2024 in “ The Journal of Urology ”

Robert E. Brannigan, Linnea Hermanson, Janice L Kaczmarek, Sennett K. Kim, M. Hassan Murad, Cigdem Tanrikut

male infertility genetic testing Y-chromosome microdeletion pelvic MRI sperm retrieval techniques testicular sperm nonazoospermic males varicocele correction lifestyle factors environmental factors sperm retrieval

TLDR The 2024 guideline updates recommendations for genetic testing, imaging, and sperm retrieval in male infertility.

The 2024 update to the AUA/ASRM Guideline on male infertility includes revised recommendations for genetic testing, imaging, and sperm retrieval techniques. Key updates involve new thresholds for Y-chromosome microdeletion testing, indications for pelvic MRI, and the use of testicular sperm in nonazoospermic males. The guideline stresses the importance of thorough male evaluation to prevent unnecessary female treatments and highlights the benefits of addressing male-specific issues like varicocele correction. It also covers the impact of lifestyle and environmental factors on male fertility and calls for ongoing review as diagnostic and treatment options advance.

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