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Infertilità maschile: cause inspiegate per il 30% dei pazienti

15 settembre 2022 – “Il 50% dei problemi di infertilità di coppia è provocato da un problema maschile, le cui cause sono inspiegate con valori nella norma in circa il 30% dei casi. È quindi fondamentale un migliore e più corretto inquadramento diagnostico, al fine di individuare e correggere eventuali patologie che possano compromettere la fertilità della coppia”.

È quanto affermato dal presidente della Società Italiana di Andrologia (Sia) Alessandro Palmieri e da quello della Società Italiana di Riproduzione Umana (Siru) Luigi Montano. I due esperti hanno illustrato il nuovo manuale dell’Organizzazione Mondiale della Sanità (OMS) per la diagnosi dell’infertilità maschile che ha introdotto tra i possibili esami di approfondimento anche lo studio del Dna spermatico. L’edizione italiana del documento, curata da Sia e Siru, è stata discussa in anteprima al congresso nazionale della Società Italiana di Andrologia in corso a Bergamo. Il documento Oms ha definito nuovi standard per migliorare la diagnosi di infertilità maschile. La novità più evidente della nuova versione riguarda l’inclusione dei test del Dna del liquido spermatico. “L’Oms riconosce che non è più sufficiente fermarsi alla valutazione dei parametri classici, quali concentrazione, motilità e forma degli spermatozoi, ma è fondamentale integrare queste informazioni con quelle sulla frammentazione del Dna degli spermatozoi”, afferma Ilaria Ortensi, componente del comitato esecutivo Sia e tra le curatrici del nuovo manuale. Questa pratica, concludono Palmieri e Montano, “migliorerà e aumenterà le diagnosi di infertilità, utili anche a fronteggiare il grave declino demografico del nostro Paese”.

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