Особенности диагностики и лечения бесплодия у мужчин с ожирением


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Аннотация

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.

Об авторах

S Hamidov

R Ovchinnikov

A Popova

A Viryasov

D Myasnikov

O Tazhetdinov

Сафаил оглы Гамидов

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

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

Руслан Игоревич Овчинников

Кафедра урологии ГОУ ВПО РГМУ, Москва

Кафедра урологии ГОУ ВПО РГМУ, Москва

Алина Юрьевна Попова

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

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

Андрей Васильевич Вирясов

Кафедра урологии ГОУ ВПО РГМУ, Москва

Кафедра урологии ГОУ ВПО РГМУ, Москва

Дмитрий Анатольевич Мясников

Кафедра урологии ГОУ ВПО РГМУ, Москва

Кафедра урологии ГОУ ВПО РГМУ, Москва

Олег Халитович Тажетдинов

Кафедра урологии ГОУ ВПО РГМУ, Москва

Кафедра урологии ГОУ ВПО РГМУ, Москва

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