UROLOGY

Management of Infertility in Klinefelter Syndrome

Nov 21, 2017 by in UROLOGY Comments Off on Management of Infertility in Klinefelter Syndrome

Pubertal stage Subjects n FSH (μg/dl) LH (μg/dl) T (ng/dl) E2 (ng/dl) PH1 47,XXY 40 8.0 (3.6–23.0) 2.5 (1.3–6.7) 14 (<10–135) 1.0 (<1.0–6.5)  Controls 14 9.2 (2.7–30.0) 2.5 (1.5–5.1) 11…

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A Clinical Approach to Male Infertility

Nov 21, 2017 by in UROLOGY Comments Off on A Clinical Approach to Male Infertility

Causes of male infertility (WHO) Idiopathic Isolated abnormalities of semen and sperm parameters Varicocele Immunological infertility Genital tract infection Primary testicular failure Kallmann’s syndrome Klinefelter’s syndrome Cryptorchidism Obstruction Ejaculatory dysfunction…

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Sexual Dysfunction and Infertility

Nov 21, 2017 by in UROLOGY Comments Off on Sexual Dysfunction and Infertility

Sexual history outline Subcomponents History of the presenting complaint Date/mode of onset, situational or global, effect of ongoing/past treatment on sexual function, exacerbations/remissions, any other symptoms in other body systems…

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Fertility Preservation in Men and Prepubertal Boys

Nov 21, 2017 by in UROLOGY Comments Off on Fertility Preservation in Men and Prepubertal Boys

Nonmalignant diseases 1. Adrenoleukodystrophy 2. Alpha-mannosidosis 3. Aplastic anemia 4. Aspartylglucosaminuria 5. Ataxia telangiectasia 6. DiGeorge syndrome 7. Galactosemia 8. Hurler syndrome 9. Inflammatory bowel disease (IBD) 10. Klinefelter syndrome…

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Cryopreservation of Human Semen

Nov 21, 2017 by in UROLOGY Comments Off on Cryopreservation of Human Semen

Development of human semen cryobanking (1776–1964) (Sherman 1980) Date Contributor Contribution 1776 Spallanzani First low-temperature observations 1866 Mantegazza First suggestion of frozen semen bank 1938 Jahnel −269 °C survival, storage…

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Aging and Male Reproduction

Nov 21, 2017 by in UROLOGY Comments Off on Aging and Male Reproduction

Histological changes Reference Physiological germ cell loss, Leydig cell loss Holstein (1989) Reduced dark A spermatogonia, giant spermatids, multinucleated spermatogonia Johnson et al. (1990) Lipid droplets in Sertoli cells, megalospermatocytes…

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Ionizing Radiation and Male Fertility

Nov 21, 2017 by in UROLOGY Comments Off on Ionizing Radiation and Male Fertility

Fig. 12.1 Risk factors for cancer and impact of radiation therapy on male fertility 12.4 Radiation and Spermatogenesis 12.4.1 Animal Studies 12.4.1.1 Rodent Model Studies conducted on different rodent models…

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Varicocele

Nov 21, 2017 by in UROLOGY Comments Off on Varicocele

© Springer India 2017Karthik Gunasekaran and N Pandiyan (eds.)Male Infertility10.1007/978-81-322-3604-7_9 9. Varicocele Karthik Gunasekaran1   (1) The Metromale Clinic: Super Specialty Clinic for Male Sexual Health and Fertility, No. 1, Crescent Park Street, T. Nagar, Landmark: Near…

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Physiology and Endocrinology of Spermatogenesis

Nov 21, 2017 by in UROLOGY Comments Off on Physiology and Endocrinology of Spermatogenesis

Fig. 2.1 Hypothalamo–pituitary–testicular axis (graphical representation). GnRH gonadotropin-releasing hormone, LH luteinizing hormone, FSH follicle-stimulating hormone, − feedback inhibition, + stimulation Conclusion The process of spermatogenesis involves a complex interplay of…

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