Abstract
The male transitional phase is of fundamental importance for future fertility. This aspect is largely neglected in clinical practice. This opinion aims to shed light on these issues. The children frequently complete the transition phase with a slight reduction of testicular volume. The system of detecting testicular volume is often inadequate. These patients evidently complete puberty in an incomplete way because they do not reach an adequate testicular volume, albeit in the presence of adequate height and regular secondary sexual characteristics.
Highlights
[8], is not frequently reported, adequate testicular volume, a parameter closely associated with the fertility potential [8], is not apart from patients significant testicular hypotrophy
Testicular volume measurement is by usually done by which overestimates compared toitultrasound
The careful observation of the evolution of antimüllerian hormone (AMH) levels in the course of pubertal development would allow us to receive the following information: (1) Adequate biological action of follicle-stimulating hormone (FSH); (2) adequate Sertolian proliferation; (3) appropriate expression of the androgen receptor by the Sertoli cell (SC); (4) adequate intratesticular biological action of testosterone [7]. These considerations highlight the importance of AMH measurement in prepubertal and transitional phase to timely identify any sign of SC dysfunction, responsible for primary testicular tubulopathy
Summary
The lack of growth spurt and of secondary sexual characters appearance insufficient production) are detectable, the failure to achieve adequate testicular (both signs testosterone of insufficient testosterone production) are detectable, the an failure to achieve an volume, a parameter closely associated with the fertility potential [8], is not frequently reported, adequate testicular volume, a parameter closely associated with the fertility potential [8], is not apart from patients significant testicular hypotrophy. Its detection is important frequently reported,with apart from patients with significant[7]. Detection is important for the primary prevention of male infertility (Figure 1). Testicular volume measurement is usually done orchidometry frequently severe testicular hypotrophy. Testicular volume measurement is by usually done by which overestimates compared toitultrasound. Despite the latter is much orchidometry which it overestimates comparedevaluation. An electronic has calculator recently been more accurate, it cannot to all patients [7,9,10]
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