Journal of Human Reproductive Sciences

REVIEW ARTICLE
Year
: 2021  |  Volume : 14  |  Issue : 2  |  Page : 105--112

Clinical andrologists: Do we really need them in the era of ART?


Prashant Motiram Mulawkar1, Pankaj N Maheshwari2, Sumeet Gopal Agrawal4 
1 Department of Urology, Tirthankar Superspeciality Hospital, Akola, Maharashtra, India; Department of Urology, University of Edinburgh, Edinburgh, Scotland, UK
2 Department of Urology, Fortis Hospital; Department of Urology, Grant Medical College, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Prashant Motiram Mulawkar
Tirthankar Superspeciality Hospital, Gaddam Plots, Akola - 444 005, Maharashtra

Infertility is on a rise, and so is the availability of assisted reproductive technique (ART) centres. The sole aim of these centers is to help these unfortunate couples achieve pregnancy. Hence, the concentration of the treatment is on the female partner, while the male is relegated to just being a source for sperm. In the era of intracytoplasmic sperm injection, when pregnancy is possible even with a single mature sperm, evaluation and management of male factor infertility (MFI) is often neglected. MFI and poor semen parameters are markers of male health. He could be suffering from erectile or ejaculatory issues or with correctable obstructive azoospermia. A simple timely varicocele correction may help resolve the issue. It is important to understand that MFI is not a disease but may be a symptom of major underlying clinical condition like testicular or brain tumors. Infertility treatment could be the only occasion when a male seeks health-care evaluation. India has a large pool of qualified urologists trained in andrological care. In contrast, gynecologists may not be trained in the management of male patients, hence there is an important place for andrological services to be an integral part of ART centers. Andrologists would offer minimal andrological evaluation and condition-specific treatment. This could avoid or reduce the need for invasive and expensive ART. Andrologists could also choose the most appropriate mode of sperm retrieval. Undoubtedly, availability of andrological services would improve the overall quality of care, reduce the costs and complications, and would also be medicolegally safe.


How to cite this article:
Mulawkar PM, Maheshwari PN, Agrawal SG. Clinical andrologists: Do we really need them in the era of ART?.J Hum Reprod Sci 2021;14:105-112


How to cite this URL:
Mulawkar PM, Maheshwari PN, Agrawal SG. Clinical andrologists: Do we really need them in the era of ART?. J Hum Reprod Sci [serial online] 2021 [cited 2021 Jul 23 ];14:105-112
Available from: https://www.jhrsonline.org/article.asp?issn=0974-1208;year=2021;volume=14;issue=2;spage=105;epage=112;aulast=Mulawkar;type=0