SARS-CoV-2 pandemic and repercussions for male infertility patients: A proposal for the individualized provision of andrological services

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Sandro C Esteves, ANDROFERT, University of Campinas
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  • Francesco Lombardo, University of Rome La Sapienza
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  • Nicolás Garrido, La Fe Health Research Institute
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  • Juan Alvarez, Centro ANDROGEN
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  • Armand Zini, McGill University
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  • Giovanni M Colpi, Procrea Swiss Fertility Center, San Carlo Cinic, Paderno Dugnano/Milano
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  • Jackson Kirkman-Brown, University of Birmingham, Birmingham Women's and Children's NHS Foundation Trust
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  • Sheena E M Lewis, Queens University Belfast, Examenlab Ltd.
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  • Lars Björndahl, Karolinska University Hospital, Karolinska Institutet
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  • Ahmad Majzoub, Hamad Medical Corporation, Weill Cornell Medicine-Qatar
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  • Chak-Lam Cho, Union Hospital, Hong Kong, The Chinese University of Hong Kong
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  • Pedro Vendeira, Urology/Andrology Unit
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  • Jorge Hallak, Science and Innovation Center in Andrology and High-Complex Clinical and Andrology Laboratory, University of São Paulo
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  • Edouard Amar, American Hospital of Paris Reproductive Center
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  • Marcello Cocuzza, University of São Paulo
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  • Fabiola C Bento, ANDROFERT
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  • Rita C Figueira, ANDROFERT
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  • Romualdo Sciorio, Royal Infirmary of Edinburgh
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  • Rita J Laursen
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  • Ahmad M Metwalley, Al Saad Specialist Hospitals, Reproductive Medicine and Genetic Unit, GEBRI, Sadat City
  • ,
  • Sunil K Jindal, Jindal Hospital
  • ,
  • Sijo Parekattil, PUR Clinic and University of Central Florida
  • ,
  • Ranjith Ramasamy, University of Miami
  • ,
  • Carlo Alviggi, University of Naples
  • ,
  • Peter Humaidan
  • John L Yovich, PIVET Medical Centre, Perth, Curtin University, Cairns Fertility Centre
  • ,
  • Ashok Agarwal, Cleveland Clinic

The prolonged lockdown of health facilities providing non-urgent gamete cryopreservation-as currently recommended by many reproductive medicine entities and regulatory authorities due to the SARS-CoV-2 pandemic will be detrimental for subgroups of male infertility patients. We believe the existing recommendations should be promptly modified and propose that the same permissive approach for sperm banking granted for men with cancer is expanded to other groups of vulnerable patients. These groups include infertility patients (eg, azoospermic and cryptozoospermic) undergoing medical or surgical treatment to improve sperm quantity and quality, as well as males of reproductive age affected by inflammatory and systemic auto-immune diseases who are about to start treatment with gonadotoxic drugs or who are under remission. In both scenarios, the "fertility window" may be transitory; postponing diagnostic semen analysis and sperm banking in these men could compromise the prospects of biological parenthood. Moreover, we provide recommendations on how to continue the provision of andrological services in a considered manner and a safe environment. Our opinion is timely and relevant given the fact that fertility services are currently rated as of low priority in most countries.

OriginalsprogEngelsk
TidsskriftAndrology
Vol/bind9
Nummer1
Sider (fra-til)10-18
Antal sider9
ISSN2047-2919
DOI
StatusUdgivet - jan. 2021

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