Male Infertility A child of my own - Andrology Australia

More documents

Recommendations

Info

APPENDICESVASECTOMYIf 10 years or more has passed since the vasectomy,the chance of having a normal sperm count after avasectomy reversal is lower.The development of other blockages in theepididymis can also reduce the chance of success.An epididymal blow-out may happen, where theepididymis bursts because of pressure from spermbuild-up. As the blow-out heals, scarring can createan extra blockage.Sperm antibodies are present in four in everyfive men after a vasectomy. These can still stoppregnancy happening, even if the vas deferens issuccessfully joined back together.[See section: ‘Appendices’ for more information on sperm antibodies]MALE INFERTILITY 86
APPENDICESABSENCE OF VAS DEFERENSWhat is absence of the vas deferens?Men who have an absence of the vas deferensare missing part of the tube that sperm travelalong after they leave the testes. These tubes eitherdo not grow as a child or they degenerate at anearly age so that the men are infertile, as spermcannot pass from the testis into the ejaculate. Menborn with this problem, known as congenitalabsence of the vas deferens (CAVD), are usuallymissing both their vas deferens and two-thirds oftheir epididymis.How does CAVD happen?CAVD is a genetic problem. The most commoncause is a genetic change or mutation in thegene called the ‘cystic fibrosis transmembraneregulator’ (CFTR). Men with CAVD do not havecystic fibrosis even though they have the geneticchange linked with this disease. Cystic fibrosis is aserious condition that causes breathing and bowelproblems from early life and premature deathbefore the age of 40 years. Most men with severecystic fibrosis have absence of the vas deferens.What is absence of the seminal vesicles?Very rarely the seminal vesicles do not develop.This problem usually happens with congenitalabsence of the vas deferens, as the seminal vesicledevelops from the vas deferens. The prostate andseminal vesicles provide about 90 per cent of theMALE INFERTILITY 87
Page 1 and 2:
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 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 and 86: What are the risks of medicine trea
Page 87: Alternatively, sperm can be collect
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
show all

Male Infertility A child of my own - Andrology Australia

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?