Fig. 4.1 Physiology of ejaculation. Sympathetic innervation originates from segments T10-L2 and reaches the pelvic plexus via the hypogastric nerve. Parasympathetic innervation arises from segments S2 to S4 and reaches…
Individual Institutional • Cost • No FPC by a physiciana • Insufficient time • No referral for FP by a physiciana • Scheduling concerns • Medical staff discomfort • Religious/ethical concerns • Lack of knowledge • Embarrassment • Lack of…
Patient • Stage of diagnosis • Performance status • Psychological distress • Access to resources • Health literacy • Cost Provider • Knowledge base • Inadequate education in training • Inadequate ongoing education • Low referral rates to reproductive specialists…
© Springer International Publishing AG 2018Ahmad Majzoub and Ashok Agarwal (eds.)The Complete Guide to Male Fertility Preservationhttps://doi.org/10.1007/978-3-319-42396-8_13 13. Developing a Sperm Banking Consent Process Lisa Campo-Engelstein1 and Nanette Elster1 (1) Alden March Bioethics Institute and Department of…
Medications causing infertility Mechanism of infertility Medication Cause erectile dysfunction (ED) Tobacco, alcohol, cocaine, beta-blockers, tricyclic antidepressants, antipsychotics, spironolactone Decrease libido SSRI antidepressants, alcohol, beta-blockers, lithium, opiates Disrupt hormonal balance…
Fig. 11.1 Postmortem sperm retrieval algorithm Waiting Period A mandatory 6–12-month waiting period is recommended before proceeding with posthumous reproduction [9, 31, 39, 40]. Grief counseling should be considered for…
Technique Description Considerations Future use Sperm cryopreservation Cryopreservation of ejaculated sperm through masturbation or electroejaculation – Established technique – Masturbation – Post-pubertal – Anaesthesia in case of electroejaculation Male partner Need of a donor…
Year Authors Country Number treated with TSS Mean size of tumor mass US Dmax (range) Histological findings (% on TSS procedures) Outcome after TSS 2014 Leonhartsberger et al. [36] Austria…
Adolescent Emotional • Transition from abstract to concrete thinking • Creation of self-identity • Development of sexual preferences Physical • Physical development affects capacity to bank sperm Psychosocial • Less concern with the future,…
Author Number of patients at the time of diagnosis Controls Diagnosis Sperm chromatin integrity assay Pretreatment DNA integrity in cancer patients versus controls Meseguer et al. [19] 75 50 fertile…
