Fig. 3.1 Needle aspiration biopsy (NAB) . A core of seminiferous tubules is pulled out of the testis using an 18 G scalp vein needle and fine microsurgical forceps Testicular Mapping…
Medication Administration Dosage/frequency Special considerations Selective estrogen receptor modulators (SERM) Oral Clomiphene citrate 25–50 mg daily, tamoxifen 20 mg daily Generally well tolerated. Off-label use for male infertility. More potent…
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…
