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- W3092796384 abstract "While the COVID-19 pandemic has resulted in a rapid expansion of telehealth services, it remains unknown how video visits, a form of telehealth, can be used to treat male infertility. We sought to evaluate what infertility diagnoses were see and how they were managed through telehealth. Herein we summarize a single institution’s experience with video visits for male infertility prior to COVID-19. Retrospective case series of patients with male infertility managed via video visits. We identified video visits completed at our institution between August 21, 2017 and March 17, 2020 for male infertility. All men had a previous in-person examination. We collected patient demographic and referral information, grouped primary diagnoses, categorize what management steps were taken, and determined whether in-person examinations were needed within 90 days. 70 video visits were completed by 56 men. The median age was 36 years (interquartile range 32 - 40), 78.5% were white, and most patients were referred by their primary care provider or their partner’s reproductive endocrinologist (47% and 33%, respectively). Most men were diagnosed with endocrinologic (29%) or anatomic (21%) contributors to infertility. See Table1A for full diagnostic categories. 73% of video visits involved reviewing results such as semen analysis and hormonal testing. 30% of visits involved counseling for assistive reproductive technologies (ART) and, in 25% of visits, hormonally active medications were prescribed. See Table1B for all management categories. There were only two in-person visits within 90 days after a video visit, both of which were planned post-operative visits.Table 1Diagnostic categories of and management through video visitsA. Diagnostic categoriesProportionEndocrinologic (hypothalamic-pituitary-gonadal axis)29%Anatomic (e.g., varicocele, vasectomy, CBAV)21%Idiopathic16%Treatment-related concerns (e.g. cancer therapy or medication impact)9%Concurrent partner evaluation9%Genetic abnormalities7%Ejaculatory failure6%DNA integrity4%Total100%B. Male infertility managementProportion*Review of results73%ART counseling30%Medication management25%Sperm extraction counseling14%Varicocelectomy counseling13%Cryopreservation counseling4%Referral to other specialists (REI, genetics)3%*Visits included multiple management categories; totals do not equal 100%. Open table in a new tab *Visits included multiple management categories; totals do not equal 100%. Video visits can be used with established patients to manage a broad spectrum of diagnoses that contribute to male infertility. In the short-term, these visits are serve as substitutes for clinic visits without resulting in additional in-person encounters." @default.
- W3092796384 created "2020-10-22" @default.
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- W3092796384 date "2020-09-01" @default.
- W3092796384 modified "2023-10-18" @default.
- W3092796384 title "VIDEO VISITS ALLOW FOR MANAGEMENT OF MALE INFERTILITY ACROSS A BROAD SPECTRUM OF DIAGNOSES" @default.
- W3092796384 doi "https://doi.org/10.1016/j.fertnstert.2020.08.095" @default.
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