Reproductive Urology Consultation Is an Opportunity to Evaluate for Medical Comorbidity: The Prevalence of Elevated Blood Pressure and Obesity at Fertility Evaluation.

Autor: Greenberg DR; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA., Panken EJ; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA., Keeter MK; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA., Bennett NE; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA., Brannigan RE; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA., Halpern JA; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Mar 27; Vol. 16 (3), pp. e57071. Date of Electronic Publication: 2024 Mar 27 (Print Publication: 2024).
DOI: 10.7759/cureus.57071
Abstrakt: Purpose To evaluate the prevalence of elevated blood pressure (EBP), hypertension (HTN), and obesity among men presenting for fertility evaluation. Methods We retrospectively evaluated all men presenting for male infertility consultation at a single institution from 2000 to 2018. Blood pressure (BP) measurements were abstracted from the electronic health record, and EBP/HTN was defined according to American Heart Association/American College of Cardiology guidelines (systolic blood pressure (SBP) ≥ 120 mmHg or diastolic blood pressure (DBP) ≥ 80 mmHg). Descriptive statistics were used to compare demographic and clinical characteristics of men with and without EBP/HTN or obesity (BMI ≥ 30 kg/m 2 ), and logistic regression was utilized to determine associations with EBP/HTN. Results Among 4,127 men, 1,370 (33.2%) had a recorded SBP and DBP within one year of their initial visit. EBP/HTN was noted in 857 (62.6%) men. A total of 249 (18.2%) men were obese, 863 (63.0%) were non-obese, and 258 (18.8%) did not have BMI recorded. HTN and obesity were jointly present in 195 (17.5%) men. There was no significant difference in age, ethnicity, or total motile sperm count between men with and without EBP/HTN. On multivariable analysis, BMI was significantly associated with EBP/HTN (OR: 1.13, 95% CI: 1.08-1.18, p < 0.001). Conclusion More than half of men presenting for initial fertility consultation have either EBP, obesity, or both. Reproductive urologists should consider routinely screening for these conditions and encourage men to seek further evaluation and treatment, when appropriate.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Greenberg et al.)
Databáze: MEDLINE