By Wayne Kuang MD (auth.), Edmund S. Sabanegh (eds.)
Male Infertility: difficulties and suggestions presents a precis of state-of-the-art advancements in male infertility for either new and skilled practitioners. Written in a transparent, concise and readable kind, this quantity permits the reader to procure speedy solutions to this demanding scientific factor. particular emphasis is put on diagnostic and remedy algorithms. themes lined contain interpretation of semen research and complicated trying out, endocrine and genetic overview, analysis of azoospermia in addition to an updated interpretation and research of the various new treatments to be had for the remedy of male issue infertility. Male Infertility: difficulties and strategies offers quick acquisition of pertinent heritage and improvement of administration plans by using concise dialogue and therapy algorithms and hence should be of significant price to basic urologists, gynecologists, basic care companies and allied healthiness prone who deal with infertility in either males in addition to women.
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Additional resources for Male Infertility: Problems and Solutions
Each test, whether in vitro or in vivo SMTP, has a different reference range which adds to the dilemma of interpreting the results. According to the WHO criteria, the presence of >50 motile spermatozoa/high power field in cervical mucus collected during the postcoital test indicates a normal clinical condition. Another important clinical use of the sperm–mucus penetration test is in the diagnosis of sperm autoimmunity (Kremer and Jager 1992). Acrosome reaction (AR), the release of proteolytic enzymes allowing egg penetration, should occur at the time of sperm–zona binding.
Despite the documented clinical value of assessment of sperm kinetics, there is an agreement that individual motion characteristics are of little value (Consensus Workshop on Advanced Diagnostic Andrology Techniques 1996). Moreover, it was agreed that studies that have only reported differences in sperm kinetics between populations do not provide any useful information (Guidelines on the Application of CASA Technology in the Analysis of Spermatozoa 1998). A relevant analysis of the sperm motion should focus on the identification of normal values for a movement pattern.
II. Hypogonadotropic hypogonadism. Johns Hopkins Med J. 1980;146:177–184 De Rosa M, Colao A, Di Sarno A, et al. Cabergoline treatment rapidly improves gonadal function in hyperprolactinemic males: a comparison with bromocriptine. Eur J Endocrinol. 1998;138:286–293 Devroey P, Liu J, Nagy Z, et al. Pregnancies after testicular sperm extraction and intracytoplasmic sperm injection in nonobstructive azoospermia. Hum Reprod. 1995;10:1457–1460 El Garem YF, El Arinin AF, El Beheiry AH, et al. Possible relationship between seminal plasma inhibin B and spermatogenesis in patients with azoospermia.
Male Infertility: Problems and Solutions by Wayne Kuang MD (auth.), Edmund S. Sabanegh (eds.)