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success rates of reproductive medical interventions. Useful may be free information sessions for patients, for example. It has been suggested that family planning and reproductive medicine aspects should be an integral part of sex education at school – just like education about contraception and prevention of sexually transmitted diseases.5 However, it is not only infertile people who may lack knowledge of reproductive functions. There are also wrong perceptions among physicians regarding, for example, the association of infertility with the female age.10 In particular, andrological topics are grossly neglected during medical education for students and later on, for doctors specializing in urology, endocrinology and dermatology (in Germany, where andrology is part of dermatology). The need for clinical andrology should much more be emphasized.11 Not least, it should also come more into the mind of physicians being active in reproductive medicine that there are methods other than assisted fertilization to improve male infertility, in particular different regimes of drug treatment have been re-evaluated most recently.12,13 A more comprehensive approach to overcome male infertility would most probably increase the utilization of andrological health care because a considerable part of infertile couples would prefer simpler methods than ICSI to achieve a pregnancy.

asian journal of andrology/asian journal of andrology

Commentary on "Awareness of and attitudes toward infertility and its treatment: a cross-sectional survey of men in a United States primary care population"