AUA Releases Male Infertility Guideline Amendment

The American Urological Association (AUA), in collaboration with the American Society for Reproductive Medicine (ASRM), has released the 2024 amendment to the Male Infertility Guideline. This guideline provides a comprehensive framework for evaluating and managing the male partner in an infertile couple. It emphasizes the importance of obtaining a thorough history and conducting a physical examination, followed by appropriate diagnostic testing when necessary. The guideline also covers medical treatments, surgical techniques, and the use of intrauterine insemination (IUI) and assisted reproductive technologies (ART) to ensure optimal patient care. The 2024 amendment introduces new evidence that supports updated recommendations for the evaluation and management of male infertility.

The Guideline amendment highlights the following:

• Update to a recommendation on evaluating azoospermic patients
• Update to a recommendation on karyotype testing
• Updates on which imaging modalities should or should not be used when evaluating patients
• A new recommendation on utilization of testicular sperm in nonazoospermic patients
• Updates to the WHO reference ranges for human semen characteristics
• A new table defining common terms in semen analysis