Male Infertility A child of my own - Andrology Australia

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APPENDICESTESTICULARCANCER & FERTILITYFor moreinformation onsperm storage speakto your specialistor contact a localinfertility clinicWhen should sperm be stored?To avoid having to delay treatment for testicularcancer, it is important to think about spermstorage early and before treatment starts. Somemen may have poor sperm counts and may needto visit the sperm-banking unit on two or threeseparate occasions. Even if the sperm quality beforetreatment is poor, sperm storage is recommendedas advances in reproductive technologies, just a fewmoving sperm can be used successfully to producechildren at a later stage.Should teenage patients be encouraged tostore sperm?Sperm storage for teenagers with testicularcancer can be a difficult issue and needs carefuland delicate management. It can be extremelydifficult for young males to come to terms withthe diagnosis of cancer at a young age and possiblebody image problems they may have followingsurgery. Fatherhood is therefore not likely to bea priority concern. Producing a semen sample bymasturbation can also be stressful for a very youngmale in these circumstances.Family support and encouragement withoutpressure can be extremely valuable to teenagerswith testicular cancer. Parents may need tohelp communicate future fertility problems totheir child.MALE INFERTILITY 96
Where can sperm be stored?Sperm is frozen using special technologies andthen kept in liquid nitrogen (-196˚C) for longtermstorage. Specialist reproductive centresproviding IVF and other ART usually also offerlong-term sperm storage facilities.MALE INFERTILITY 97
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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
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 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: How does chemotherapy affect fertil
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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