Do not use phytoestrogens for menopausal-related sexual symptoms.
There is no strong scientific evidence for the use of phytoestrogens in the treatment of menopausal-related sexual symptoms (e.g. hypoactive sexual desire disorder, excitement disorder, orgasmic disorder, dyspareunia, vaginismus) and/or hot flushes. Biological actions...
Do not perform genetic tests and assessment of sperm DNA fragmentation in all male patients with sperm abnormalities.
Genetic testing in patients with impaired seminal parameters and history of couple infertility must be proposed in selected cases. A wide use of such tests represents an inappropriate clinical practice both from a clinical and an economic point of view. The analysis...
Do not prescribe phosphodiesterase-5 inhibitors (PDE5i) in men with erectile dysfunction (ED) without an adequate diagnostic work-up.
Prescribing PDE5i without performing an appropriate diagnostic work-up to detect the ED-associated morbidities represents a missed opportunity. In fact, in ED patients the stratification of cardiovascular risk is simple, non-invasive and can reveal an asymptomatic...
Do not prescribe nutraceuticals in all male patients with sperm abnormalities.
Antioxidants and/or nutraceuticals are widely used in andrological clinical practice, as an empirical treatment for male infertility. There is no evidence of efficacy to treat infertility related to other disorders, whereas weak evidence of efficacy in the treatment...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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