Is semen analysis necessary prior to the commencement of testosterone supplementation therapy in men of reproductive age?

  • Michael Pan Baylor College of Medicine, Houston, Texas
  • Ranjith Ramasamy Baylor College of Medicine, Houston, Texas
  • Jason Ronald Kovac Urology of Indiana, 12188-A North Meridian Street Suite 200 Carmel, IN 46032
Keywords: testosterone supplementation therapy, hypogonadism, fertility preservation, semen analysis

Abstract

A semen analysis (SA) should be performed on all men of reproductive age prior to the commencement of testosterone supplementation therapy (TST).  A baseline SA has numerous benefits including the ability to unmask occult azoospermia, act as a baseline measure of reproductive function, and provide a recovery target for management of TST-induced testicular dysfunction.  Physicians treating men of reproductive age with TST should incorporate SA as part of their initial treatment protocol.

Author Biographies

Michael Pan, Baylor College of Medicine, Houston, Texas
Medical Student
Ranjith Ramasamy, Baylor College of Medicine, Houston, Texas
Fellow in Reproductive Medicine and Surgery
Jason Ronald Kovac, Urology of Indiana, 12188-A North Meridian Street Suite 200 Carmel, IN 46032
Urologist, Indiana.

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Published
2014-12-15
How to Cite
Pan, M., Ramasamy, R., & Kovac, J. R. (2014). Is semen analysis necessary prior to the commencement of testosterone supplementation therapy in men of reproductive age?. Canadian Urological Association Journal, 8(11-12), 446-7. https://doi.org/10.5489/cuaj.2259