By Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)
Infertility is an issue for the couple and evaluate of the couple is most advantageous in a health facility the place either women and men could be obvious jointly. The contribution to care by means of the urologist and the gynaecologist every one with an curiosity in infertility is various yet complementary. My appreciation of this used to be sharpened among 1976 and 1985 in the course of my organization with the realm health and wellbeing Organization's Spe cial Programme of analysis improvement and study education in Human replica on the conferences of the steerage Committee of its activity strength on Infertility. The deliberations of this team have been aimed toward constructing a protocol for research of the infertile couple and it grew to become obvious to me as a gynaecologist how vital is the correct characterization of the male partner's function to the formula of the administration plan for the infertile couple. to enhance the standard of our evaluate of the male associate our techni cal employees have been educated within the semen method of the laboratory of Dr F Com haire of Ghent and we have been joined through Dr CLR Barratt, male reproductive biologist. It appeared applicable to percentage our enthusiasm for medical andrology, so after dialogue with Dr Comhaire and Professor T Glover, an eminent male reproductive biologist, then of Brisbane, who deliberate a sabbatical to his local used to be prepared for 1 and a pair of may possibly 1986. Professor Glover en Yorkshire, a gathering of the meeting.
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Reduced semen volume may indicate inflammation or fibrosis of the prostate, whilst large volumes may signify an inflammatory condition of the seminal vesicles. Chemical tests may also be applied. Depressed citric acid content (Mann, 1964), for example, may demonstrate failure of prostatic function and a high incidence of leukocytes may confirm the condition. Yet variations in semen volume might also reflect differences in the force of seminal emission (Cross and Glover, 1958) or in the integrity of the ejaculatory reflex (Scharfetter, 1982).
Pp. 233-49. (Baltimore: Williams and Wilkins) Silber, SJ. (19n). Microscopic vasectomy reversal. Fertil. , 28,1191-1202 Young, D. (1970). Surgical treatment of male infertility.!. Reprod. , 23, 541-2 DISCUSSION Question: Do you perform testicular biopsies routinely when doing a vasovasos- tomy? Hendry: No. Spermatogenesis is normal post vasectomy. We would only perform a testicular biopsy on a repeat vasovasostomy. Question: Why in unilateral absence of vas do you have azoospermia? Hendry: Usually because something has happened on the other side.
G. G. (1984). Relationship between morphology and motility of sperm and fertility in subfertile men. Proc. Ferti/. Soc. Australia, 3,9 DISCUSSION Question: Have you examined the influence of the spermatogenic precursor cells in semen samples, on fertility? Glover: No. But an excess of them is a strong indicator of spermatogenic disorder. Question: There are some reports that the quality and quantity of semen produced by masturbation is inferior to that produced at coitus or using other methods of collection such as silastic capsules.
Advances in Clinical Andrology by Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)