Male Infertility A child of my own - Andrology Australia

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GLOSSARYvagina The lower part of the female reproductive tract thatconnects the cervix to the outsidevaricocele A collection of the enlarged (dilated) testicularveins in the spermatic cordvas deferens Duct that transports sperm from theepididymis to the ejaculatory ductvasectomy sterilisation procedure in which the vasdeferens is cutMALE INFERTILITY 112
AUTHORSProfessor Robert McLachlanMMBS FRACP PhDProfessor Robert McLachlan is currently PrincipalResearch Fellow at Prince Henry’s Institute and Directorof Andrology Australia. He is also a practicing andrologistand endocrinologist at Monash IVF and Monash MedicalCentre, Melbourne.Contributions by:Dr HW Gordon BakerRoyal Women’s Hospital, Melbourne and Universityof Melbourne (retired)This booklet hasbeen reviewed by apanel of experts inmale reproductivehealth. AndrologyAustralia gratefullyacknowledges theexpert panel andconsumers withinfertility who haveprovided valuableassistance and inputinto the productionof this guide.Dr Roger CookSwinburne University of Technology, MelbourneProfessor Gab KovacsMonash IVF, MelbourneProfessor David M de Kretser, ACMonash University, MelbourneAssociate Professor Doug LordingCabrini Health, MelbourneMALE INFERTILITY 113
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MALEINFERTILITYA CHILD OF MY OWNA B
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MALE INFERTILITYInfertility - Not j
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MALEREPRODUCTIONWhat are sperm?Sper
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Before birth, the developing testes
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Cross-section of sperm-producing tu
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The levels of FSH and LH in the blo
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Where can sperm production go wrong
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SIGNS &SYMPTOMSWhat is male inferti
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CAUSESWhat are the known causes of
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Sperm productionproblemsBlockage of
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DIAGNOSISHow is male infertility di
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Ultrasound may be used if the teste
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SpermnumbersLow orzeroLow orzeroLow
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Another blood test which can be don
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What if no cause is found?For most
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temporarily lower a sperm count for
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using methods approved by the World
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TREATMENTCan male infertility be tr
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Treatable causes of male infertilit
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What about assisted reproductive te
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not affecting sperm production or t
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ecome pregnant avoid exposure to an
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HAVINGA FAMILYWhat are the chances
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very low sperm counts who previousl
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What issues need to be thought abou
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Childhood developmentLarge studies
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Chances of finding sperm are low fo
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Semen collectionFor most types of I
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What are the success rates with ART
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Adoption of babies and children fro
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Most men also feel the need to unde
Page 63 and 64: attention is paid to the infertile
Page 65 and 66: APPENDICESMALE INFERTILITY 63
Page 67 and 68: What are the risks of hormonal trea
Page 69 and 70: Most men with Klinefelter’s syndr
Page 71 and 72: What are other considerations for m
Page 73 and 74: Even when this problem is surgicall
Page 75 and 76: How do sexually transmitted infecti
Page 77 and 78: APPENDICESTORSION OF THE TESTISWhat
Page 79 and 80: APPENDICESHEATHow does temperature
Page 81 and 82: APPENDICESVARICOCELEWhat is a varic
Page 83 and 84: APPENDICESSPERM ANTIBODIESWhat are
Page 85 and 86: What are the risks of medicine trea
Page 87 and 88: Alternatively, sperm can be collect
Page 89 and 90: APPENDICESABSENCE OF VAS DEFERENSWh
Page 91 and 92: APPENDICESERECTION &EJACULATION PRO
Page 93 and 94: What are the risks with erectiledys
Page 95 and 96: What are the risks of ejaculation t
Page 97 and 98: How does chemotherapy affect fertil
Page 99 and 100: Where can sperm be stored?Sperm is
Page 101 and 102: Environmental and chemical agents,
Page 103 and 104: APPENDICESRADIATIONHow does radiati
Page 105 and 106: SUPPORTThis booklet gives informati
Page 107 and 108: Websites of relevanceAccessAustrali
Page 109 and 110: chromosomes Structures in each cell
Page 111 and 112: oligozoospermia (or oligospermia) A
Page 113: spermaturia Spermaturia is the rele
Page 117 and 118: Assisted reproductive technologies
Page 119 and 120: 7Halliday, JL, Ukoumunne OC, Baker
Page 121: Postal address:Andrology AustraliaM
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