Male Infertility A child of my own - Andrology Australia

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HAVINGA FAMILYLegislativeguidelines on ARTdiffer betweenstates and territoriesLegislation and Code of PracticeMost clinics offering assisted reproductivetechnologies operate under legislative guidelineswhich may differ between each state and territory.When deciding to start infertility treatment, coupleswill be fully informed of any legislation that mayaffect treatment, donation and storage procedures.The treating doctor and counsellors speciallytrained in infertility problems are available todiscuss any legislative issues and help couplesmake informed decisions about their treatment.The Reproductive Technology AccreditationCommittee (RTAC), established by the FertilitySociety of Australia, also provides a Code ofPractice for clinics offering IVF and relatedtechnologies. Clinics offering assisted reproductivetechnologies must be accredited by RTAC.CounsellingSpecialised counselling services are provided inclinics offering assisted reproductive technologies.The services of a professional counsellor may helpindividuals and couples at times of stress, such asat initial diagnosis, and also provide informationand support at any stage of treatment. In somestates in Australia, counselling is compulsorybefore treatment starts.MALE INFERTILITY 54
What are the success rates with ART?ICSI can result in pregnancy rates up to 50 percent per treatment cycle. This is a major increaseon traditional IVF techniques for the treatmentof male infertility, which were used before ICSIwas developed. A number of factors, such as theage and fertility of the female partner, need to beconsidered when reviewing a couple’s chance ofgetting pregnant by different assisted reproductivetechnologies. Infertility clinics can often providemore detail about pregnancy outcomes for thedifferent treatment options they offer.The Fertility Society of Australia supportsand funds the collection of the data used inthe provision of overall success rates of ARTthroughout Australia and New Zealand. Thisdata is collated by the Perinatal and ReproductiveEpidemiology Research Unit, University of NSW(www.preru.unsw.edu.au/preruweb.nsf).What is donor insemination?For men who do not produce any sperm or havebeen unsuccessful with ICSI, donor inseminationusing sperm donated by another anonymous orknown male may be an option. About one in14 infertile couples need to use donor sperm tobecome pregnant.MALE INFERTILITY 55
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MALEINFERTILITYA CHILD OF MY OWNA B
Page 3 and 4:
MALE INFERTILITYInfertility - Not j
Page 5 and 6: MALEREPRODUCTIONWhat are sperm?Sper
Page 7 and 8: Before birth, the developing testes
Page 9 and 10: Cross-section of sperm-producing tu
Page 11 and 12: The levels of FSH and LH in the blo
Page 13 and 14: Where can sperm production go wrong
Page 15 and 16: SIGNS &SYMPTOMSWhat is male inferti
Page 17 and 18: CAUSESWhat are the known causes of
Page 19 and 20: Sperm productionproblemsBlockage of
Page 21 and 22: DIAGNOSISHow is male infertility di
Page 23 and 24: Ultrasound may be used if the teste
Page 25 and 26: SpermnumbersLow orzeroLow orzeroLow
Page 27 and 28: Another blood test which can be don
Page 29 and 30: What if no cause is found?For most
Page 31 and 32: temporarily lower a sperm count for
Page 33 and 34: using methods approved by the World
Page 35 and 36: TREATMENTCan male infertility be tr
Page 37 and 38: Treatable causes of male infertilit
Page 39 and 40: What about assisted reproductive te
Page 41 and 42: not affecting sperm production or t
Page 43 and 44: ecome pregnant avoid exposure to an
Page 45 and 46: HAVINGA FAMILYWhat are the chances
Page 47 and 48: very low sperm counts who previousl
Page 49 and 50: What issues need to be thought abou
Page 51 and 52: Childhood developmentLarge studies
Page 53 and 54: Chances of finding sperm are low fo
Page 55: Semen collectionFor most types of I
Page 59 and 60: Adoption of babies and children fro
Page 61 and 62: 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 and 114:
spermaturia Spermaturia is the rele
Page 115 and 116:
AUTHORSProfessor Robert McLachlanMM
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Assisted reproductive technologies
Page 119 and 120:
7Halliday, JL, Ukoumunne OC, Baker
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Postal address:Andrology AustraliaM
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Male Infertility A child of my own - Andrology Australia

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