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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2008 June;167(3):117-21
Andrological counselling and PMA
Vicari E., Vicari L. O., Condorelli R., Castiglione R., La Vignera S.
Sezione di Endocrinologia Andrologia e Medicina Interna Dipartimento di Scienze Biomediche Università di Catania Ospedale Garibaldi (Centro), Catania, Italia
With the law 40/2004 on the PMA, the information given to the couple with infertility problems in the PMA centres has become “symmetric”: the andrologist is put on condition to complete clinical exams and treatments relative to the male pathologies found. In the PMA centres, the presence of the andrologist next to the gynecologist is essential and finalized to consent the best choice for each couple with infertility for male factor, in terms of possibility of pregnancy, complicances and costs. The correct medical approach is not different from the pre-ICSI era and still relies on anamnesis, andrological-internal objectivity, specific instrumental and laboratory exams, suggested by initial diagnostic hypothesis of classification. In the respect of the typology of the consulting activity (decisional, of sustain, genetic, therapeutic) expected in the guidelines containing indications of techniques and procedures of PMA (art.7 – law 40/2004), the andrological counseling finalized to certify the state of infertility for the access to the PMA techniques (guidelines: art.4, comma 1) to be able to ensure the diagnostic and therapeutic graduality criteria, essentially includes some stages. First stage: clinic-andrological counseling for the identification of categories of patients, with infertility male factor, to whom propose therapeutic options of technological kind (PMA). Second stage: clinic-genetic counseling for the evaluation of the potential risks for the progeny.