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What is Clinical Andrology?

Definition of Clinical Andrology

 

This definition of Clinical Andrology came out of initial drafting work for the Andrology STP and was agreed by a a number of individuals across specialisms.

 

The Clinical Science of Andrology deals with the prevention, diagnosis, treatment and rehabilitation of:

  • Male fertility diagnostics and therapy (including but not limited to: subfertility diagnostics; and early therapeutic interventions to improve healthy live birth outcome; clinical advice for patients considering fertility treatment; preparation and selection of sperm for use in fertility treatment, use of donated sperm);
  • Male contraception and family planning (including but not limited to: male contraception; Post- vasectomy and post-vasectomy reversal semen analysis);
  • Sperm banking and fertility preservation (including surgical sperm retrieval including following traumatic testicular injury; sperm banking where fertility is threatened; preparation and selection of sperm for use in fertility treatment);
  • Paternally heritable disease (including potential and definite risks to offspring from lifestyle, disease or therapeutic interventions);
  • Male sexual dysfunctions (including erectile dysfunction, disturbances of desire, arousal, ejaculatory and orgasmic dysfunctions);
  • Male endocrine dysfunctions (including disorders of sexual development; hypogonadism; male ageing and other conditions from puberty to senescence);
  • Gamete donation (including detailed screening and familiarity with ethical and social issues);
  • Gender reassignment (including issues around gamete storage and future use);
  • Genital tract pathologies (including infections and inflammations or cancers relating specifically tothe male);
  • Prevention of transmission of blood-borne viruses (including fertility treatment forserodiscordant/concordant couples for HIV, Hep B and Hep C);
  • Research and Development (service development and evolution activities across the entire portfolio above and in new areas as applicable). 
  • By its nature the role of the Andrologist also includes: ensuring conformance and compliance with national legislation and international standards; Audit and establishing and maintaining robust quality systems; ethico-legal issues (HFEA, EUTCD, etc) and management of an Andrology service (QM, HR, etc).
  • When State Registered as a Clinical Scientist, an Andrologist will also be able to offer advice and support directly to patients and medical staff.
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