INFERTILITY IN MALES [DEFINITION/TYPES/CAUSES] скачать в хорошем качестве

INFERTILITY IN MALES [DEFINITION/TYPES/CAUSES]

Infertility is defined as the inability to conceive after one year of unprotected sexual intercourse Primary infertility=never impregnated any female in the past Secondary=had proven paternity attributed to him previously e.g. DNA confirmation of paternity 38% Female factors 20% Male factors 27% Both 15% not clear 65-80% of male infertility is due to primary testicular defects in spermatogenesis. This can be an isolated defect in spermatogenesis without any identifiable cause called Idiopathic dysspermatogenesis. 10-20% will have Idiopathic male infertility, which is an infertile man with a normal seminal fluid analysis and no apparent cause of identified infertility. Idiopathic dysspermatogenesis will have abnormal seminal fluid analysis. 5% will have sperm transport disorders. 2-5% will have hypogonadotropic-hypogonadism. Before the Semen analysis test: No intercourse or ejaculation x 3/7 No alcohol/caffeine/cocaine/cannabis x 1/52 No herbs No meds/stress/illness Results of semen analysis: Results=Normal values: Liquefaction=15-30mins before turning liquid Motility= greater than 50% normal movement Morphology= greater than 50% normal shape Count=20million to greater than 200 million Volume= greater than 2milliliters (2-4mls) pH=7.2-7.8 Appearance=White/Gray/Opalescent Oligozoospermia i.e. low sperm count, most men with infertility have this Azoospermia i.e. no sperm cells in the ejaculation Normozoospermia i.e. normal count in some infertile men, plus decreased motility and abnormal morphology Asthenozoospermia i.e. decrease sperm motility in 80% Teratozoospermia i.e. Abnormal sperm morphology Normal everything i.e. small % will have normal count, motility and morphology You will know about 44 causes of a male infertility here. Do you know that the nature of your job can lead to infertility as a man? Spend less than 32 minutes to educate yourself and help others.