Male Infertility A child of my own - Andrology Australia

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APPENDICESVASECTOMYVasectomy shouldNOT be consideredreversible. Spermstorage (banking)however, doesoffer an ‘insurancepolicy’ to couplesconsideringvasectomyWhy is a vasectomy considered afertility problem?Vasectomy is a safe and effective way to stopcouples becoming pregnant. It should beconsidered permanent contraception. Almost onein three Australian men aged between 40 and 49years of age have had a vasectomy. Men planningto have a vasectomy should think about storingsperm before having this procedure. This mayremove the possible need for a vasectomy reversalin the future.Vasectomy involves cutting and removing asection of the vas deferens, the tube that carriessperm from the testis to the urethra at the base ofthe bladder.Only a small percentage of the large number ofmen having had a vasectomy each year will, atsome time, want to have more children. However,this still means that each year many hundreds ofthese men will think about surgical reversal of thevasectomy or fertility options such as IVF.Vasectomy reversal surgery can be difficult due tothe small size of the tubes that need to be joinedback together and often does not enable couplesto become pregnant naturally. If sperm have beenstored before the vasectomy, a female partner canbe inseminated at the time of ovulation (the fertiletime of a woman’s menstrual cycle).MALE INFERTILITY 84
Alternatively, sperm can be collected from theman’s epididymis by a needle puncture aspiration.Or in another approach, in a small operationcalled a biopsy, sperm can be taken from the testesof a man who has had a vasectomy. 8 These spermcan be used in ICSI treatment cycles, as for thosemen with naturally occurring fertility problems.The choice of surgical vasectomy reversal versussperm aspiration/ICSI, including costs, risks andbenefits, should be carefully talked about withthe doctor.[See section: ‘Having a Family’ for more information]What happens with a vasectomy reversal?Vasectomy reversals involve rejoining the cut endsof the vas deferens using microsurgery. Factorsfrom the original vasectomy can affect the chancesof a vasectomy reversal being successful. Theoutcome is reduced by:• Diathermy (the use of burning to close eitherend of the vas deferens)• A larger amount of the vas deferens havingbeen removed• The increasing time between the vasectomyand reversal• Sperm antibodiesMALE INFERTILITY 85
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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
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 and 56: Semen collectionFor most types of I
Page 57 and 58: What are the success rates with ART
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: What are the risks of medicine trea
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
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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Male Infertility A child of my own - Andrology Australia

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