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Published in: International Urology and Nephrology 6/2014

01-06-2014 | Urology – Review

A translational medicine appraisal of specialized andrology testing in unexplained male infertility

Authors: Sandro C. Esteves, Rakesh K. Sharma, Jaime Gosálvez, Ashok Agarwal

Published in: International Urology and Nephrology | Issue 6/2014

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Abstract

The diagnostic and prognostic validity of sperm function biomarkers is particularly relevant for males with unexplained infertility in which routine semen analysis fails to detect subcellular sperm dysfunctions. In this general review, we examine the role and significance of specialized andrology laboratory tests from past to present and provide a glance toward the future. We concluded that the assessment of sperm DNA damage and oxidative stress provide a relatively independent measure of fertility that yields diagnostic and prognostic information complementary to, but distinct and more significant than, standard sperm parameters. Since none of the available methods for such testing have been fully translated, further research is necessary to evaluate their cost-effectiveness when applied in large scale to daily medical practice. Application of translational medicine concepts would also be useful to accelerate the clinical application of recent discoveries in the fields of genomics, proteomics and metabolomics.
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Metadata
Title
A translational medicine appraisal of specialized andrology testing in unexplained male infertility
Authors
Sandro C. Esteves
Rakesh K. Sharma
Jaime Gosálvez
Ashok Agarwal
Publication date
01-06-2014
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 6/2014
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-014-0715-0

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