SS Howards

[ 1 ] - I-1: Male Infertility; Past, Present and Future

1st century A.D.: Celsius reported that swollen veins over the testis associated are with small testis. Mid-19th century: Inflammation of male and female reproductive organs was treated with ointments, douches and massages. 1881: Dr. Levy a German gynecologist performed a post coital test for an infertile couple and determined that the husband was sterile (no sperm on microscopic exam). Late 19...

[ 2 ] - I-2: Current Evaluation and Treatment of The Infertile Men

Background Fifty percent of infertility involves a male factor. The evaluation begins with a history, physical exam and semen analysis x 2. The history should include questions about exposure to gonad toxins. The differential diagnosis of no ejaculate includes; retrograde ejaculation, failure of ejaculation (rare), failure of emission and psychogenic. Evaluation of absence of the vas deferens w...

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