Childless marriage: role of male factor (clinical and organizational-and-methodical aspects)


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Abstract

Based on the experience of federal and regional urology and gynecology clinics and respective postgraduate professional education departments and on the analysis of scientific literature, the authors propose a three-level care system for men of forced childless couples. The use of three-step comprehensive prevention of male factor infertility and miscarriage is substantiated. Up-to-date requirements for the instrumentation of andrology laboratories and for methods for sperm quality assessment are depicted. The possibilities and limitations of surgical and medical treatments and assisted reproductive technologies are characterized.

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About the authors

V. A Bozhedomov

I.N. Sechenov First Moscow State Medical University; Peoples' Friendship University of Russia; Polyclinic One, Department for Presidential Affairs of the Russian Federation

Email: vbojedomov@mail.ru
MD, professor of Department of Obstetrics, Gynecology, Perinatology and Reproduction, I.M. Sechenov First Moscow State Medical University and Department of Clinical Andrology, Federal state budget institution Peoples’ Friendship University of Russia

I. V Vinogradov

Peoples' Friendship University of Russia

Email: ivvinogradov@mail.ru
MD, Department of Clinical Andrology, Faculty for Advanced Training of Health Care Workers

N. A Lipatova

Peoples' Friendship University of Russia

Email: li_na1328@mail.ru
PhD, physician assistant Department of Clinical Andrology, Faculty for Advanced Training of Health Care Workers

I. M Rokhlikov

City Polyclinic Sixty-Eight

Email: rohim@urol-androl.ru
PhD, Head. Central Administrative District of Moscow department of urology Moscow

A. A Tretyakov

City Polyclinic Three

Email: a.a tretyakov@mail.ru
PhD, chief medical Moscow

M. A Nikolaeva

I.N. Sechenov First Moscow State Medical University

Email: MNikolaeva@oparina4.ru
Sc.D., leading research scientist at the Laboratory of Clinical Immunology

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