Two enzymes are involved in the polyol pathway: an aldose reductase that reduces glucose in sorbitol followed by its oxidation in fructose by sorbitol dehydrogenase. It has been previously shown that both enzymes are presented in the bovine epididymis, where they are associated with membranous vesicles called epididymosomes. Based on the distribution of these enzymes, it has been hypothesized t...

In the study by Samplaski et al. (1Samplaski M.K. Falk O. Honig S. Shin D. Matthews W. Smith J.F. Development and validation of a novel mail-in semen analysis system correlation between one hour delayed testing.Fertil Steril. 2021; 115: 922-929Scopus (2) Google Scholar), authors develop validate home-collected, kit that can be analyzed up to 52 hours after collection. The challenges tests are t...

Approximately 15% of couples cannot conceive a child after 1 year of regular, unprotected intercourse. Male factor infertility is contributory in another 30% to 40%. Most causes of male infertility are treatable and the goal of many treatments is to restore the ability to conceive naturally. The dramatic recent improvements in the management of male infertility are largely contributable to impr...

Objective To evaluate the incidence of Y-chromosome microdeletions in individuals born from vasectomized fathers who underwent vasectomy reversal or in vitro fertilization with sperm retrieval by epididymal aspiration (percutaneous epididymal sperm aspiration). Methods A case-control study comprising male children of couples in which the man had been previously vasectomized and chose vasectom...

USING EPIDIDYMAL AND TESTICULAR SPERM FROM AZOOSPERMIC MEN: THE CLEVELAND CLINIC EXPERIENCE Mehmet Oder, Ramadan A Saleh, Namita Kattal, Mohamed A Bedaiwy, Anthony J Thomas, Ashok Agarwal, Cleveland Clinic Foundation Objective: Sperm retrieval from testis and epididymis, combined with ICSI, has significantly enhanced the chances of azoospermic men to father their own genetic offspring. The impa...

Metabolomics is the systematic study of metabolites as small-molecule biomarkers that represent the functional phenotype in a cell, tissue or organism. Detection of crucial disturbances in the concentration of metabolites by metabolomic profiling of key biomarkers can be beneficial in the management of various medical conditions, including male-factor infertility. Recent studies have demonstrat...

OBJECTIVE Determine whether testicular sperm extractions and pregnancy outcomes are influenced by male and female infertility diagnoses, location of surgical center and time to cryopreservation. PATIENTS One hundred and thirty men undergoing testicular sperm extraction and 76 couples undergoing 123 in vitro fertilization cycles with testicular sperm. OUTCOME MEASURES Successful sperm recove...

STUDY QUESTION Is there a better alternative to the conventional cryopreservation protocols for human testicular tissue banking? SUMMARY ANSWER Uncontrolled slow freezing (USF) using 1.5 M dimethylsulphoxide (DMSO) and 0.15 M sucrose as cryoprotectants appears to be a user-friendly and efficient method for the cryopreservation of human testicular tissue. WHAT IS KNOWN ALREADY Currently, tim...

Studies using gene-linkage analysis have suggested that abnormal recombination during meiosis may lead to the production of aneuploid gametes; however, there is little direct evidence of a link between the two in human males. We analysed spermatocytes in the pachytene stage from a man with extremely high aneuploidy rates in his sperm. Testicular tissue specimens of the infertile man and two vas...

Male factor is the sole reason or a component for infertility in 20 and 30% of cases respectively. The management of the disease may be via medical or surgical treatment. The surgical approach is classified as techniques which improves sperm production and delivery in order to achieve spontaneous pregnancy or sperm retrieval techniques prior to assisted reproductive techniques (ART). Varicocele...