Interactive Session - Society for Male Reproduction and Urology - Paternal Age Concerns: What Should We Be Telling Our Couples?
Time:1:15 pm - 2:15 pm
Location:Room 6D - San Diego Convention Center
Grace M. Centola, Ph.D. (Chair), Cryobank Compliance Services
Paul J. Turek, M.D., Turek Clinic
Edward D. Kim, M.D., University of Tennessee Graduate School of Medicine
Paternal Age Concerns: What Should We Be Telling Our Couples?
Needs Assessment and Description
Men are increasingly fathering children at later stages in life. As a result, there have been heightened concerns regarding their fertility and concerns to their offspring. The concerns of fathering children at increasing paternal age include genetic, medical and psychological concerns to both the father and the offspring, as well as to the healthcare professional treating these patients. This live session is designed for urologists, reproductive endocrinologists, nurses, general practitioners and other allied health professionals.
At the conclusion of this session, participants should be able to:
- Evaluate the mechanisms of aging on male fertility.
- List a common psychiatric disorder in offspring that has been associated with older paternal age fathers.
- Describe a chromosomal disorder and a single gene mutation condition that have been associated with advanced paternal age.
- Delineate which cell within the process of spermatogenesis is likely affected and results in single gene mutations in the aging male.
- Explain what genetic tests are currently indicated for patients concerned about the risk of paternal age and effects on offspring. Discuss counseling of the older male about potential fertility concerns.
Topical testosterone therapies for aging men with hypogonadism:
- Are beneficial for spermatogenesis.
- Have a less detrimental effect than intramuscular injections on spermatogenesis.
- Increase intratesticular testosterone levels and improve spermatogenesis.
- Likely have an irreversible effect on spermatogenesis.
- Are increasingly used in the general population.