title: [The male factor in childless marriage problem-solving strategies].
abstract: This paper proposes a three-level care system for men from involuntarily childless couples. The proposal is based on the experience of federal and regional clinics of urology and gynecology, respective departments for postgraduate education and on the analysis of scientific literature. Using three-stage comprehensive prevention of male infertility factor and recurrent pregnancy loss is substantiated. Up-to-date requirements for equipping andrology laboratories and testing sperm quality are outlined. The prospects and limitations of surgical and medical treatment modalities and assisted reproductive technologies are described.
authors.affiliation: Department of Obstetrics, Gynecology, Perinatology and Reproductology, IPEP, I.M. Sechenov First MSMU, Department of Clinical Andrology, FATHCW of Medical Institute, Peoples Friendship University of Russia, Moscow.
authors.forename: V A
authors.initials: VA
authors.lastname: Bozhedomov
mesh_terms: D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008393:Marriage
keywords: DNA fragmentation; acrosome reaction; childless marriage; infertility treatment; oxidative stress; prostatitis; sperm; sperm chromatin; varicocele