弱精子症病因及临床诊疗专家共识

Expert consensus on etiology,diagnosis and treatment of asthenozoospermia

《世界卫生组织人类精液检查与处理实验室手册》(第5版)将精液中前向运动的精子比例低于参考值下限(32%)的病症定义为弱精子症。弱精子症是导致男性不育的常见原因,其病因复杂多样,诊断和治疗中有不少问题尚待明确和探讨。为此,中华医学会生殖医学分会组织男性生殖领域专家,以循证医学资料为依据,参考国内外研究最新进展,结合专家的诊疗经验和意见,共同制定本共识。

The World Health Organization Laboratory Manual for Human Semen Examination and Processing(the fifth edition)defines asthenozoospermia as a disease in which the proportion of forward motile sperm in semen is lower than the lower limit of reference value(32%).Asthenozoospermia is a common cause of male infertility.Its etiology is complex and diverse,and there are many issues in diagnosis and treatment that need to be clarified and discussed.To this end,Chinese Society of Reproductive Medicine(CSRM),the reproductive branch of the Chinese Medical Association,has organized experts in the field of male reproduction to formulate this consensus based on evidence-based medicine,with reference to the latest research progress at home and abroad,and in combination with the diagnosis and treatment experience and opinions of CSRM experts.