RESULTS OF A NORTH AMERICAN SURVEY ON THE CHARACTERISTICS OF MEN PRESENTING FOR INFERTILITY INVESTIGATIONS: THE ANDROLOGY RESEARCH CONSORTIUM

You have accessJournal of UrologyInfertility: Epidemiology & Evaluation II1 Apr 2018MP19-09 RESULTS OF A NORTH AMERICAN SURVEY ON THE CHARACTERISTICS OF MEN PRESENTING FOR INFERTILITY INVESTIGATIONS: THE ANDROLOGY RESEARCH CONSORTIUM Keith Jarvi, Susan Lau, Kirk Lo, Ethan Grober, J.C. Trussell, James Hotaling, Thomas Walsh, Peter Kolettis, Victor Chow, Armand Zini, Aaron Spitz, Marc Fischer, Trustin Domes, Scott Zeitlin, Eugene Fuchs, Jason Hedges, Mary Samplaski, Jay Sandlow, Robert Brannigan, James Dupree, Marc Goldstein, Edmund Ko, James Smith, Puneet Kamal, Michael Hsieh, Jared Bieniek, David Shin, and Ajay Nangia Keith JarviKeith Jarvi More articles by this author , Susan LauSusan Lau More articles by this author , Kirk LoKirk Lo More articles by this author , Ethan GroberEthan Grober More articles by this author , J.C. TrussellJ.C. Trussell More articles by this author , James HotalingJames Hotaling More articles by this author , Thomas WalshThomas Walsh More articles by this author , Peter KolettisPeter Kolettis More articles by this author , Victor ChowVictor Chow More articles by this author , Armand ZiniArmand Zini More articles by this author , Aaron SpitzAaron Spitz More articles by this author , Marc FischerMarc Fischer More articles by this author , Trustin DomesTrustin Domes More articles by this author , Scott ZeitlinScott Zeitlin More articles by this author , Eugene FuchsEugene Fuchs More articles by this author , Jason HedgesJason Hedges More articles by this author , Mary SamplaskiMary Samplaski More articles by this author , Jay SandlowJay Sandlow More articles by this author , Robert BranniganRobert Brannigan More articles by this author , James DupreeJames Dupree More articles by this author , Marc GoldsteinMarc Goldstein More articles by this author , Edmund KoEdmund Ko More articles by this author , James SmithJames Smith More articles by this author , Puneet KamalPuneet Kamal More articles by this author , Michael HsiehMichael Hsieh More articles by this author , Jared BieniekJared Bieniek More articles by this author , David ShinDavid Shin More articles by this author , and Ajay NangiaAjay Nangia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.658AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The Andrology Research Consortium was established by the Society for the Study of Male Reproduction, a specialty section of the American Urological Association, to characterize men presenting for infertility investigations. METHODS Men presenting for infertility investigation at a total of 24 North American subspecialty male infertility centers completed a standardized male infertility questionnaire. RESULTS Between May 2015 and Sept 2017, a total of 4335 men completed the questionnaires. The mean age of the men and their female partners was 37 (IQR 33-41) and 34 (IQR 31-40) years old, respectively. 74% (1537/2017) had not been previously assessed by a male fertility specialist. Intrauterine insemination (IUI) (99/1537) and IVF (164/1537) had been used to treat some of the couples who had never had a male factor infertility investigation. Potentially reversible causes for the male infertility included a previous vasectomy in 387/4335 (average duration since vasectomy of 10.5 years (IQR 5-14)) and medication/lifestyles factors. Cigarettes and marijuana were used by 470 (11%) and 411 (9.5%) of the men, respectively. Limited alcohol consumption (= 2 drinks/day) was common but only 6.4% reportedly drank > 2 drinks daily. Cocaine use was reported by 2% of the men. The reported frequency of use of testosterone and 5a reductase inhibitors (5ARIs) within the last 6 months varied by center with the lowest use being reported by the Toronto center. Excluding Toronto, 102/2071 (4.9%) and 87/2071 (4.2%) of the men reported using testosterone or 5ARIs, respectively. In Toronto, only 0.8% and 0.1% reported using testosterone or 5ARIs. The testosterone had been prescribed by urologists, endocrinologists and primary care physicians in almost equal numbers to manage low energy (31%), diminished libido (20%), for athletics and strength (15%) and other reasons. 8 men who reported taking testosterone also reported having gone through a previous IVF cycle. CONCLUSIONS This broad North American patient survey highlights that many couples with male factor infertility are being treated with IUI or IVF prior to the men being fully investigated. The survey also identified potentially reversible causes for the male infertility including lifestyle factors and the common use of testosterone and 5ARIs © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e247 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Keith Jarvi More articles by this author Susan Lau More articles by this author Kirk Lo More articles by this author Ethan Grober More articles by this author J.C. Trussell More articles by this author James Hotaling More articles by this author Thomas Walsh More articles by this author Peter Kolettis More articles by this author Victor Chow More articles by this author Armand Zini More articles by this author Aaron Spitz More articles by this author Marc Fischer More articles by this author Trustin Domes More articles by this author Scott Zeitlin More articles by this author Eugene Fuchs More articles by this author Jason Hedges More articles by this author Mary Samplaski More articles by this author Jay Sandlow More articles by this author Robert Brannigan More articles by this author James Dupree More articles by this author Marc Goldstein More articles by this author Edmund Ko More articles by this author James Smith More articles by this author Puneet Kamal More articles by this author Michael Hsieh More articles by this author Jared Bieniek More articles by this author David Shin More articles by this author Ajay Nangia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...