PharmatecaPharmatecaФарматека2073-40342414-9128Bionika Media278425ArticlesСтатьиPECULIARITIES OF THE DIAGNOSIS AND TREATMENT OF INFERTILITY IN MEN WITH OBESITYОсобенности диагностики и лечения бесплодия у мужчин с ожирениемHamidovSOvchinnikovRPopovaAViryasovAMyasnikovDTazhetdinovOGamidovSafail oglyГамидовСафаил оглы

Кафедра урологии ГОУ ВПО РГМУ, МоскваКафедра акушерства, гинекологии, перинатологии и репродуктологии с курсом клинической андрологии ГОУ ВПО ММА им. И.М. Сеченова, Москва

OvchinnikovRuslan IgorevichОвчинниковРуслан Игоревич

Кафедра урологии ГОУ ВПО РГМУ, Москва

PopovaAlina Yur'evnaПоповаАлина Юрьевна

Кафедра акушерства, гинекологии, перинатологии и репродуктологии с курсом клинической андрологии ГОУ ВПО ММА им. И.М. Сеченова, Москва

ViryasovAndrey Vasil'evichВирясовАндрей Васильевич

Кафедра урологии ГОУ ВПО РГМУ, Москва

MyasnikovDmitriy Anatol'evichМясниковДмитрий Анатольевич

Кафедра урологии ГОУ ВПО РГМУ, Москва

TazhetdinovOleg KhalitovichТажетдиновОлег Халитович

Кафедра урологии ГОУ ВПО РГМУ, Москва

Кафедра урологии ГОУ ВПО РГМУ, МоскваКафедра акушерства, гинекологии, перинатологии и репродуктологии с курсом клинической андрологии ГОУ ВПО ММА им. И.М. Сеченова, МоскваКафедра урологии ГОУ ВПО РГМУ, МоскваКафедра акушерства, гинекологии, перинатологии и репродуктологии с курсом клинической андрологии ГОУ ВПО ММА им. И.М. Сеченова, Москва15052010179NO9 (2010)№9 (2010)182323022023Copyright ©; 2010, Bionika MediaCopyright ©; 2010, ООО «Бионика Медиа»2010Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2073-4034/article/view/278425

There are more than 17% of infertile couples in Russia, and this figure tends to increase. About half of cases of infertility are caused by male infertility. Infertility is idiopathic in 31 to 75% of men. These patients are mainly empirically treated using drugs of different groups (antiestrogen, aromatase inhibitors, luteinizing hormone, follicle-stimulating hormone, gonadotropin-releasing hormone, antioxidants and biologically active dietary supplements, etc.) that are frequently ineffective. As possible, obesity is one of the factors that adversely affect sperm parameters. According to the WHO data (2003), 1.7 billion people worldwide are overweight, a significant portion of them are men of reproductive age. This article discusses the main ways of pathogenesis, diagnosis and treatment of infertility in men with obesity.

В России бесплодные пары составляют более 17 %, и эта цифра имеет тенденцию к росту. Около половины случаев бесплодия пары обусловлено бесплодием мужчины. У 31-75 % мужчин бесплодие является идиопатическим. Лечение этих пациентов осуществляется главным образом эмпирически, применяются лекарственные средства различных групп (антиэстрогены, ингибиторы ароматазы, лютеинизирующий гормон, фолликулостимулирующий гормон, гонадотропин-рилизинг гормон, антиоксиданты, биологически активные добавки к пище и др.), которые часто оказываются неэффективными. Одним из возможных факторов, отрицательно влияющих на показатели спермограммы, может являться ожирение. По данным ВОP (2003), 1,7 млрд человек в мире имеют избыточную массу тела, значительную часть из них составляют мужчины репродуктивного возраста. В данной статье рассматриваются основные возможные пути патогенеза, диагностики и лечения бесплодия у мужчин с ожирением.

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