Medical treatment prior to micro-TESE
Recommended Citation
Dasgupta S, Le TS, Rambhatla A, Shah R, and Agarwal A. Medical treatment prior to micro-TESE. Asian J Androl 2024.
Document Type
Article
Publication Date
12-24-2024
Publication Title
Asian journal of andrology
Abstract
Except in cases of hypogonadotropic hypogonadism, the use of medical therapy before microsurgical testicular sperm extraction (micro-TESE) is controversial. In some studies, hormone therapy has been shown to improve the possibility of sperm retrieval during micro-TESE and even lead to the presence of sperm in the ejaculate in some cases, thereby obviating the need for micro-TESE. However, their routine use before micro-TESE in cases of nonobstructive azoospermia (NOA) being associated with hypergonadotropic hypogonadism and eugonadism (normogonadotropic condition) has not been supported with robust evidence. In this review, we discuss different types of medical therapy used before micro-TESE for NOA, their risks and benefits, and the available evidence surrounding their use in this setting.
PubMed ID
39716721
ePublication
ePub ahead of print
