© Springer International Publishing AG 2017Nabil Aziz and Ashok Agarwal (eds.)The Diagnosis and Treatment of Male Infertility10.1007/978-3-319-56547-7_15 15. Establishing and Managing a Sperm Bank Grace M. Centola1 (1) Reproductive Laboratory and Tissue Bank Consultant, Port St Lucie,…
© Springer International Publishing AG 2017Nabil Aziz and Ashok Agarwal (eds.)The Diagnosis and Treatment of Male Infertility10.1007/978-3-319-56547-7_12 12. Varicocele: Surgical Intervention Versus Assisted Conception Nicholas N. Tadros1 and Edmund SabaneghJr.2 (1) Department of Urology, Cleveland Clinic, 4968 Oakridge…
Advantages Disadvantages PESA • Fast • Low cost • Possibly office/outpatient procedure • Minimal recovery and morbidity • Repeatable • No microsurgical skill and instruments required • Few sperm…
Fig. 10.1 Pedigree for Simon Jones and Heather Simpson Heather proceeds to have DNA analysis for the same 50 common CFTR mutations, and no mutations are found. The couple are reassured…
Low risk of gonorrhea Flouroqinolone active against chlamydia once daily for 10–14 days OR Doxycycline AND antibiotic against enterobacteriaceae for 10–14 days Likely gonorrhea Single dose ceftriaxone intramuscularly AND doxycycline for 10–14 days…
TESA Mapping TESE Micro TESE Sperm retrieval rate (%) 49.5 47 45 62 Advantages Simple Can be repeated Less cost Simple Gives a guide to subsequent biopsy No microsurgical…
Test Value Reference range FSH (mIU/mL) 4 4–10 LH (mIU/mL) 5 4–12 Testosteronea (ng/dL) 198 250–1000 Estrogen (pg/mL) 25 10–40 Prolactin (ng/mL) 10 2–18 aDrawn on two separate occasions before…
Fig. 5.1 The hypothalamo–pituitary–testicular axis. The negative influence is shown with dash lines. E 2 Estradiol; FSH Follicle-stimulating hormone; LH luteinizing hormone; AMH Anti-Müllerian hormone; “?” means that the action and…
Fig. 7.1 Neural pathways involved in ejaculation While retrograde ejaculation is classically attributed to failure of bladder neck coaptation, there has been evidence that this is not the causative process in…
Fig. 1.1 Factors contributing to oxidative stress-induced male infertility (Copyright license provided) Like all other living cells, spermatozoa require oxygen for survival. However, excessive exposure to oxygen metabolites can alter…
