Ep. 302 Male Infertility: Diagnosis & Guidelines Update with Dr. Robert E. Brannigan

Ep. 302 Male Infertility: Diagnosis & Guidelines Update with Dr. Robert E. Brannigan

From BackTable Urology by BackTable

May 12, 2026 · 47 min

About this episode

Dr. Robert E. Brannigan discusses the 2024 AUA/ASRM Male Infertility Guideline update and the evolving landscape of male infertility evaluation.

Male factor infertility accounts for nearly half of all infertility cases, yet male evaluation is often delayed or overlooked. In this episode of BackTable Urology, Dr. Robert Brannigan joins guest host Dr. Catherine Nam to unpack the 2024 AUA/ASRM Male Infertility Guideline update and discuss how the field is evolving beyond basic semen analysis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction04:12 - Rationale Behind the Updates09:37 - Concurrent Couple Evaluation15:01 - Diagnosis, Assessment and Evaluation20:33 - Y Chromosome Microdeletion Testing23:54 - Workup for Recurrent Pregnancy Loss33:57 - Pelvic MRI for EDO36:46 - MicroTESE40:15 - Future Research Directions44:09 - Closing Takeaways --- More about this episode They review updated definitions of infertility, challenges with WHO semen reference ranges, and the need for comprehensive male assessment. The discussion also covers sperm DNA fragmentation, recurrent pregnancy loss, the role of pelvic MRI for ejaculatory duct obstruction, micro-TESE for nonobstructive azoospermia, and the latest directions in male infertility research. --- Resources Increased risk of incident chronic…

People in this episode

Host: Dr. Catherine Nam

Guest: Dr. Robert E. Brannigan

Topics covered

  • male infertility
  • diagnosis
  • guidelines update
  • sperm analysis
  • recurrent pregnancy loss
  • pelvic MRI
  • micro-TESE

Keywords

  • male factor infertility
  • semen analysis
  • Y Chromosome Microdeletion Testing
  • sperm DNA fragmentation
  • ejaculatory duct obstruction
  • nonobstructive azoospermia
  • infertility guidelines

Mentioned in this episode

Organizations: AUA, ASRM, World Health Organization

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