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


Journal

Andrology
ISSN: 2047-2927
Titre abrégé: Andrology
Pays: England
ID NLM: 101585129

Informations de publication

Date de publication:
01 2021
Historique:
received: 22 04 2020
revised: 25 04 2020
accepted: 27 04 2020
pubmed: 2 5 2020
medline: 4 2 2021
entrez: 2 5 2020
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 32357288
doi: 10.1111/andr.12809
pmc: PMC7267121
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

10-18

Subventions

Organisme : Department of Health
ID : HCS SCL-2014-05-001
Pays : United Kingdom

Informations de copyright

© 2020 American Society of Andrology and European Academy of Andrology.

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Auteurs

Sandro C Esteves (SC)

ANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.
Department of Surgery (Division of Urology), University of Campinas (UNICAMP), Campinas, Brazil.
Faculty of Health, Aarhus University, Aarhus, Denmark.

Francesco Lombardo (F)

Department of Medical Physiopathology, University of Rome "La Sapienza", Rome, Italy.

Nicolás Garrido (N)

IVI Foundation, Health Research Institute La Fe, Valencia, Spain.

Juan Alvarez (J)

Centro ANDROGEN, La Coruña, Spain.

Armand Zini (A)

Division of Urology, Department of Surgery, St. Mary's Hospital, McGill University, Montreal, QC, Canada.

Giovanni M Colpi (GM)

Andrology Service, Procrea Swiss Fertility Center, Lugano, Switzerland.
Andrology and IVF Department, San Carlo Cinic, Paderno Dugnano/Milano, Italy.

Jackson Kirkman-Brown (J)

Centre for Human Reproductive Science, IMSR, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Birmingham Women's Fertility Centre, Birmingham Women's & Children's NHS Foundation Trust, Birmingham, UK.

Sheena E M Lewis (SEM)

Queens University Belfast, Belfast, UK.
Examenlab Ltd., Belfast, UK.

Lars Björndahl (L)

ANOVA, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.

Ahmad Majzoub (A)

Department of Urology, Hamad Medical Corporation, Doha, Qatar.
Weill Cornell Medicine-Qatar, Doha, Qatar.

Chak-Lam Cho (CL)

Department of Surgery, Union Hospital, Hong Kong, Hong Kong.
S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong.

Pedro Vendeira (P)

Urology/Andrology Unit, Saúde Atlântica, Clínica do Dragão, Porto, Portugal.

Jorge Hallak (J)

Androscience, Science and Innovation Center in Andrology and High-Complex Clinical and Andrology Laboratory, São Paulo, Brazil.
Division of Urology, University of São Paulo, São Paulo, Brazil.
Men's Health Study Group, Institute for Advanced Studies, University of São Paulo, São Paulo, Brazil.
Reproductive Toxicology Unit, Department of Pathology, University of São Paulo, São Paulo, Brazil.

Edouard Amar (E)

Cabinet D'Andrologie Victor Hugo, American Hospital of Paris Reproductive Center, Paris, France.

Marcello Cocuzza (M)

Human Reproduction Center, Division of Urology, University of São Paulo, São Paulo, Brazil.

Fabiola C Bento (FC)

ANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.

Rita C Figueira (RC)

ANDROFERT, Andrology and Human Reproduction Clinic, Campinas, Brazil.

Romualdo Sciorio (R)

Edinburgh Assisted Conception Programme, EFREC, Royal Infirmary of Edinburgh, Edinburgh, UK.

Rita J Laursen (RJ)

Fertility Clinic Skive, Skive Regional Hospital, Skive, Denmark.

Ahmad M Metwalley (AM)

IVF Laboratory, Al Saad Specialist Hospitals, Jeddah, Saudi Arabia.
Reproductive Medicine and Genetic Unit, GEBRI, Sadat City, Egypt.

Sunil K Jindal (SK)

Division of Reproductive Medicine and Andrology, Jindal Hospital, Meerut, India.

Sijo Parekattil (S)

PUR Clinic and University of Central Florida, Clermont, FL, USA.

Ranjith Ramasamy (R)

Department of Urology, Miller School of Medicine, University of Miami, Miami, FL, USA.

Carlo Alviggi (C)

Department of Neuroscience, Reproductive Science and Odontostomatology, University of Naples Federico II, Naples, Italy.

Peter Humaidan (P)

Faculty of Health, Aarhus University, Aarhus, Denmark.
Fertility Clinic Skive, Skive Regional Hospital, Skive, Denmark.

John L Yovich (JL)

PIVET Medical Centre, Perth, WA, Australia.
Curtin University, Perth, WA, Australia.
Cairns Fertility Centre, Cairns, QLD, Australia.

Ashok Agarwal (A)

Andrology Center, Department of Urology, Cleveland Clinic, Cleveland, OH, USA.

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