By Craig Niederberger
An advent to Male Reproductive drugs is written in particular for readers looking access into this fast-moving, complicated distinctiveness with a superior realizing of the topic. the 1st chapters disguise the anatomy and body structure, scientific evaluate, surgical procedure, drugs, genetics and laboratory trying out curious about the present overview and remedy of the infertile male, and the ultimate bankruptcy describes the interplay of the sector with girl reproductive medication. in the course of the booklet, references are without delay made to the fourth version of the foremost textual content within the area of expertise, Infertility within the Male, edited by way of Larry Lipshultz, Stuart Howards and Craig Niederberger, permitting readers to extend their figuring out of particular components the place wanted. each one bankruptcy is written by way of a well-renowned specialist in a simple to keep on with, casual sort, making the textual content excellent for college students, citizens and common physicians who're looking to bring up their basic wisdom of the sector.
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Additional resources for An Introduction to Male Reproductive Medicine
Diagnosing pathology and treating it is what doctors do. Equally as important if not more so is that if you identify a problem amenable to therapy, you may lessen the intensity of artificial reproductive techniques required, perhaps rendering the couple able to conceive naturally. In the azoospermic man, your therapy may result in sperm in the ejaculate for IVF/ICSI, obviating the need for surgical retrieval of sperm from the testis. Therapy for the severely oligospermic An Introduction to Male Reproductive Medicine, ed.
Surgery involving the male reproductive tract can interfere with the passage of sperm. Prostatectomy and “minimally invasive treatments” for benign prostatic hyperplasia often lead to retrograde ejaculation, and radical prostatectomy with its concomitant ligation of the vas deferens and removal of the seminal vesicles results in anejaculation. Although the template approach to retroperitoneal lymph node dissection markedly reduced the possibility of anejaculation after this procedure for advanced testis cancer, the complication may still occur.
As urine volume may vary, sperm density is unimportant. Rather, it is the total number of sperm that is measured and reported for PEU. The amount of sperm in the antegrade ejaculate determines the significance of the PEU sperm count. A retrograde ejaculate containing 1 million sperm is highly significant if the antegrade ejaculate is azoospermic, whereas the same result in the face of 40 million sperm in the antegrade specimen is not. Evaluating ejaculatory ductal obstruction (variably referred to in acronym form as “EDO” or “EJDO”) is less standardized than retrograde ejaculation, and the diagnosis is consequently more ambiguous.