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Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
Male Infertility
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Male Infertility

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Infertility affects 15% of couples attempting pregnancy in the United States. Roughly speaking, about half of these couples will have a male factor involved, and a male factor will be the sole cause …

Infertility affects 15% of couples attempting pregnancy in the United States. Roughly speaking, about half of these couples will have a male factor involved, and a male factor will be the sole cause of infertility in about 25% of cases. Thus, all men should have at least a basic evaluation by a urologist early in the course of the female’s evaluation to avoid expensive and unnecessary female treatments. Infertility is defined as the inability to achieve pregnancy after 1 year of unprotected intercourse. Many couples seek medical attention prior to waiting a year, especially if the female partner is over 35 years old. Most couples who seek medical assistance for fertility do not require high technology, expensive treatments.

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  • 1. MALE INFERTILITY www.drnudell.com
  • 2. DO I SWIM OR NOT?
  • 3. Semen Analysis Shape of sperm! Numbers! Volume of semen! Integrity of sperm! Shape, size, movement
  • 4. Remember infertility is not the same as impotence (the inability to develop or maintain an erection)
  • 5. Smoking damages the tissues in your penis there are over 4,000 chemicals in cigarette smoke. some of them damage your arteries, including the parts that maintain an erection. If they go floppy, so do you.
  • 6. Many factors contribute to a possible increase in prevalence In USA 3 million men are infertile ! Causes Controlled substances Marijuana Alcohol Infections Mumps STIs Poor testicular circulation Cryptochid late descent Varicocele
  • 7. Smoking is a major cause of poor sperm quality! Alcohol decreases testosterone and sperm function! Marijuana binds to estrogen receptors in testes and causes abnormal sperm! Anabolic steroids decreases sperm count! Chemical and radiation! Prolonged exposure to high temperatures decreases production! Single most common cause: varicoceles, enlarged testicular veins
  • 8. Varicoceles Varicoceles are varicose veins! They increase temperature and injure sperm health! Dilation of the veins near the testis lead to the formation of varicocele ! These structures appear as a ‘bag of worms’
  • 9. 40% of infertile men have them! 15% of all men have them ! They increase with age! Large varicoceles decrease sperm numbers and testosterone production
  • 10. Treatment for Varicoceles: Scrotal support - resembles a jock strap for pain relief ! Varicocelectomy - a cut, usually in the lower abdomen, and tie off the abnormal veins. Blood will now flow around the area into normal veins.! Varicocele embolization - a catheter (tube) is placed into a vein in your groin or neck area. Using x-rays as a guide the tube is moved into the varicocele.
  • 11. Azoospermia (no sperm)! 2nd greatest cause of infertility! Causes Blocked duct Infection Chlamydia Poorly working Y At birth Toxins Radiation injury Steroid abuse Unkown

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