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Semen analysis test - Sri Lanka male female infertility treatment ...

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Figure 5H. Testicular histology from fine-needleaspiration samples. Carcinoma in situ, onlytransformed spermatogonia and Sertoli cellspresent.Other InvestigationsUltrasonography is useful for checking for tumors in the <strong>test</strong>es, particularly whenthe <strong>test</strong>es are difficult to palpate because of a tense hydrocele.It can also be used to measure <strong>test</strong>icular size and confirm the presence andnature of cysts or other abnormalities in the scrotum.Doppler blood flow assessment is valuable in assessing a painful swollen <strong>test</strong>isfor torsion or inflammation and for evaluating varicoceles.Other <strong>test</strong>s of a varicocele, including thermography, technetium scans, andvenography, may be performed but as pointed out below the value of treatingvaricoceles to improve fertility is uncertain.Rectal ultrasound may demonstrate cysts in the prostate, enlarged seminalvesicles or dilated ejaculatory ducts associated with distal genital tractobstructions.Clinical suspicion of the presence of a pituitary tumor should be followed up byappropriate radiology.

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