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Andrologie in der interdisziplinären Reproduktionsmedizin

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Reproduktionsmedizin

Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Unerfüllter Kinderwunsch ist das Resultat von weiblichen und männlichen Infertilitätsfaktoren. Bei mindestens der Hälfte der betroffenen Paare ist mit Fertilitätsstörungen auf Seiten des Mannes zu rechnen, die auf verschiedenste Ursachen zurückzuführen sein können. Nach ihrer Lokalisation lassen sich Störungen der Hoden, der ableitenden Samenwege und akzessorischen Drüsen, der Samendeposition, des übergeordneten Hypothalamus-Hypophysen-Systems sowie Androgenrezeptor- und Enzymdefekte unterscheiden. Männliche Infertilität kann hierbei Endzustand sowohl angeborener als auch erworbener Erkrankungen sein; häufig liegen mehrere ätiopathogenetische Faktoren vor. Somit ist die Untersuchung des Mannes bei unerfülltem Kinderwunsch unverzichtbar, insbesondere auch vor einer assistierten Reproduktion. Bei nicht ausreichender gynäkologisch-andrologischer Kooperation besteht die Gefahr, dass auf Seiten des Mannes gesundheitsrelevante Störungen unerkannt bleiben und kausale Therapieoptionen nicht genutzt werden.

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Authors and Affiliations

  1. Sektion Konservative Andrologie/Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Giessen und Marburg GmbH, GmbH – Standort Giessen/Justus-Liebig-Universität Giessen, Gießen, Deutschland

    Hans-Christian Schuppe

  2. Andrologicum, München, Deutschland

    Frank-Michael Köhn

  3. Sektion Molekulare Andrologie/Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus-Liebig-Universität, Biomedizinisches Forschungszentrum, Gießen, Deutschland

    Klaus Steger

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  1. Hans-Christian Schuppe
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  2. Frank-Michael Köhn
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  3. Klaus Steger
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Correspondence to Hans-Christian Schuppe .

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  1. Facharzt-Zentrum für Kinderwunsch, Pränatale Medizin, Endokrinologie und Osteologie Hamburg GmbH, amedes experts, Hamburg, Germany

    Klaus Diedrich

  2. SYNLAB Holding Deutschland GmbH, Augsburg, Hamburg, Germany

    Michael Ludwig

  3. Sektion für gynäkologische Endokrinologie und Reproduktionsmedizin, Universitätsklinikum Schleswig-Holstein – Campus Lübeck, Lübeck, Schleswig-Holstein, Germany

    Georg Griesinger

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Schuppe, HC., Köhn, FM., Steger, K. (2019). Andrologie in der interdisziplinären Reproduktionsmedizin. In: Diedrich, K., Ludwig, M., Griesinger, G. (eds) Reproduktionsmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55601-6_43-1

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