Video
Runtime: 2 min 21 sec
Speaker: Julia Rios, MD
Transcript
Dr. Julia Rios discusses the importance of collaboration between reproductive endocrinologists and urologists in evaluating and treating infertility. The video delves into the differences in the initial evaluation process for male and female partners, highlighting the need for comprehensive assessment of both. Dr. Rios explores the role of referral to urologists for patients with abnormal semen parameters or failed ART cycles, emphasizing the importance of a multidisciplinary approach to infertility care.
Most patients will come to the REI as the initial consult, and so I just wanted to like put out here when we're doing our evaluation and our history, you know, very long intake, lots of questions on the gynecology REI intake on that history. Also, like diagnostic evaluation, we have ovulatory dysfunction, ovarian reserve, pelvic anatomy, looking at peritoneal factors, doing a physical exam, so that's all what we're doing on the REI side, and then we're taking a brief history, looking for any like signs or red flags in that history on for the male partner, but we're not doing a physical exam, and then we're ordering a semen analysis, and if it's abnormal, often a repeat semen analysis, so I think just looking at the the side from our point, you can see that as a gynecology REI perspective, we are doing more on the female side, and so this is just kind of starts the importance of that, the combination or the relationship between us and reproductive urology, so looking at the American Urology Association ASRM's guidelines for diagnosing male infertility, so this is a really nice guideline for evaluating the male in parallel to the female, and so referral is recommended, any post-spectumy patient, at least one abnormal sperm parameter, and then also at failed assistive reproductive technology, and so how often is this happening, and so I wanted to like look at the literature on that, and so I wanted to start here by kind of pulling reproductive urologists as also REIs, like how are patients sent for referral? All patients with sperm get seen, only those with abnormal parameter, only patients with severe male factor, or only after failed ART.
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