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Management of Anabolic Steroid-Induced Infertility: Novel Strategies for Fertility Maintenance and Recovery

The World Journal of Men′s Health 2020년 38권 2호 p.141 ~ 150
Tatem Alexander J., Beilan Jonathan, Kovac Jason R., Lipshultz Larry I.,
소속 상세정보
 ( Tatem Alexander J. ) - Baylor College of Medicine Scott Department of Urology
 ( Beilan Jonathan ) - Baylor College of Medicine Scott Department of Urology
 ( Kovac Jason R. ) - Men’s Health Center
 ( Lipshultz Larry I. ) - Baylor College of Medicine Scott Department of Urology

Abstract


There is often inherent conflict in the overlapping fields of male fertility and andrology. While the goal of all male fertility specialists is to facilitate and preserve biologic paternity, many practitioners also care for a significant number of patients suffering from hypogonadism. Exogenous testosterone administration, the gold standard for the management of these patients, almost universally impairs spermatogenesis and can even completely eradicate it in some men. With steady increases in both the incidence of hypogonadism and average paternal age, practitioners are now encountering hypogonadal men who desire future fertility or men suffering the effects of earlier androgenic anabolic steroid use with increasing frequency. In this manuscript, we review management strategies for these complex patients and explore novel medications that may be of use in this population.

키워드

Anabolic steroids; Clomiphene citrate; Human chorionic gonadotropin; Hypogonadism; Infertility; Testosterone

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