IntroductionAlthough infertile couples may include men with a varicocele, IVF/ICSI as primary treatment for male-factor infertility has greatly increased and can potentially decrease direct medical intervention for infertile men when they seek treatment from a urologist specializing in male infertility. Such series of treatment strategy might increase the risk of unnecessary interventions for the female partner, which could lead to potentially serious complications of ART, such as multiple pregnancies and ovarian hyperstimulation syndrome. In addition, repeat IVF/ICSI can be a considerable economic burden for infertile couples. However, using the internet, patients now have greater access to information on feasible treatment options for male infertility. This knowledge might motivate infertile couples to visit a male infertility clinic. In such cases, physicians and patients must choose the most appropriate treatment from the variety of treatments available for male-factor infertility.
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