2013, Number 05
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Ginecol Obstet Mex 2013; 81 (05)
Genetic variants associated to male infertility in Mexican patients
Piña-Aguilar RE, Chima-Galán MC, Yerena-de-Vega MCA, Regalado-Hernández MÁ, Sánchez-Guerrero C, García-Ortiz L, Santillán-Hernández Y, Moreno-García JD
Language: Spanish
References: 70
Page: 245-258
PDF size: 443.35 Kb.
ABSTRACT
Recently Mexican Federation of Obstetrics and Gynecology Colleges (Federación Mexicana de Colegios de Obstetricia y Ginecologia, FEMECOG) published the Mexican guideline for the management of male infertility, which suggests performing genetic laboratory tests as part of diagnosis and management of infertile patients and states that these should receive genetic counseling. This paper reviews the genetic approach proposed by Mexican guideline. A systematic review of medical literature was performed in Pubmed and Web of KnowledgeTM from 1980 to 2012 in order to find reports of genetic variants associated to male infertility in Mexican patients. Also it is discussed the current knowledge of these variants, their clinical implications and finally the guidelines and recommendations for their molecular diagnosis. Most genetic variants in Mexican infertile patients are chromosome abnormalities. In relation to other variants there is only a report of Y chromosome microdeletions, repeated CAG in androgen receptor and more common mutations in
CFTR, and other article reporting mutations in
CFTR in patients with congenital absence of
vas deferens. Little is known about the genetics of Mexican infertile patients apart from chromosome abnormalities. However, the contr bution of genetics as etiology of male infertility is taking more relevance and currently the consensual management of infertile male should include the screening of genetic background. This review pretends to be a quick guide for clinicians who want to know about reports of genetic variants related to male infertility in Mexican population and how to approach their diagnosis.
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