MALE INFERTILITY

Definition
Male factor
Semen
Major causes of male infertility
Treatment of male infertility
Production of semen
Spermatogenesis
Hormonal control
Semen analysis
Normal Seminogram
Abnormal Finding in semen
Varicocele
Ejaculatory dysfunctions
Congenital causes
Acquired causes
Environmental & gonadotoxins
Immunological causes
Testicular cancer
Idiopathic cuses
MGInfec.
STDs.
Antisperm antibodies(ASA)
Gonadotoxins
General measures
Specific medical treatment
Emperical treatment
Surgical treatment
Varicocelectomy
Testicular biopsy
Epididymovasostomy
ART (Assisted Reproductive Techniques)
HAI (Husband Artificail Insemination)
IVF (In vitro fertilization)
ICSI (Intra cytoplasmic sperm injection)
PESA (percutaneous epididymal sperm aspiration)
MESA (micro surgical epidpdymal sperm aspiration)
TESA (testicular sperm aspiration)
TESE (testicular sperm extraction)
INTRODUCTION TO MALE INFERTILITY
Anatomy of Male Reproductive System
Etiology of Male Infertility
Pretesticular causes
Testicular causes
Testicular causes
Post
Defective sperm production & function
Defective sperm transport
Failure of sperm deposition in posterior vaginal fornix & its transport along the cervical canal
FUNCTIONAL CAUSES
OBSTRUCTIVE CAUSES
MECHANICAL CAUSES
Azoospermia
Oligo Atheno Teratozoospermia
Necrospermia
Teratozoospermia
Hyperviscosity
Genital Tract Infections
Evaluation Of Male Factor
DIAGNOSIS OF MALE INFERTILITY
Investigations of infertile male
WHO criteria for normal semen
ABNORMAL SEMEN PARAMETERS
Conventional semen analysis
Computer aided semen analysis ( CASA )
Staining for pus cells ( leukocytospermia )
Supravital staining for vitality
Electron Microscopy
Sperm Function Tests
Scanning EM
Transmission TEM
Karyotyping
Imaging
Scrotal US
Duplex
Undescended Testis
ARTIFICIAL INSEMINATION HUSBAND (AIH)
GAMETE MICROMANIPULATION