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Male Diagnosis needs more than a Semen Analysis
•Detailed assessment of the MAN •Chronic pelvic pain
• Prostatitis
• Varicocoele
•Anabolic steroids •Bacterial infections
ESHRE PCC Andrology, Vienna, 2019
Staphylococcus aureus Escherichia coli Streptococci Mycoplasma hominis Chlamydia trachomatis Enterococcus faecalis
The Greater Accuracy of Molecular Testing
• Semen analysis has always been a blunt instrument
• WHO 2010 has reduced the criteria for normality
• Fertile men can have poor semen analysis
• 25‐30% of idiopathic couples have normal semen analysis
• Sperm DNA has much lower coefficients of variation
• Sperm DNA has high repeatability within and between spermatogenic cycles
• Sperm DNA is all that matters post fertilization ESHRE PCC Andrology, Vienna, 2019
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PRECONGRESS COURSE 01 I VIENNA, AUSTRIA – 23 JUNE 2019 13
