Chronic excessive alcohol consumption and male fertility: a case report on reversible azoospermia and a literature review.

AIMS: The aim of this work was to report on a heavy drinker whose azoospermia was reversed after alcohol withdrawal. We also review the literature on links between alcohol consumption and azoospermia. METHOD: This study is a clinical case report and a literature review. RESULTS: Two years after alcohol withdrawal, a child was born following assisted reproduction technique. Excessive alcohol consumption (i.e. more than 60 g a day) is strongly associated with azoospermia and this condition may be reversible after alcohol withdrawal. CONCLUSIONS: Testicular biopsies should be countra-indicated for heavy drinkers, and in order to increase the chances of obtaining a pregnancy, alcohol abstinence should be encouraged in male with low-to-moderate alcohol intakes.

[Consumption of alcohol and tobacco remain high in hospital population]. / Les consommations d'alcool et de tabac restent élevées en population hospitalière.

BACKGROUND: Consumption of alcohol and tobacco are influenced by many factors that require regular epidemiological assessments. As such, the study of a hospital population seems all the more relevant it can help to better identify patients at risk and tailor addiction interventions. OBJECTIVES: Determine the prevalence of risky alcohol use and tobacco use among hospitalized patients in order to propose to the scale of a General Hospital (CHG), algorithms of interventions with these patients. The secondary objective was the analysis socio-demographic determinants of these patients. METHODS: A descriptive study on any given day was done. Regarding tobacco use, patients were classified as "smoking", "no smoking" and "ex smoker". Regarding alcohol consumption, test DETA and AUDIT Court were able to classify patients into "consumer risk", "user without risk" and "non user". RESULTS: Hence, 20.5% of patients reported smoking and 23% of patients were classified as having a risky alcohol use. CONCLUSION: Given the importance of prevalence, it appears necessary to improve activity-tracking consumption of tobacco and alcohol at the hospital. To this end, we propose decision algorithms to better differentiate what is a matter of allowing the patient service (tracking and consultants), which may fall to a strategy of specialized care.