Download An Introduction to Male Reproductive Medicine by Craig Niederberger PDF

By Craig Niederberger

An advent to Male Reproductive drugs is written particularly for readers looking access into this fast-moving, complicated distinctiveness with an excellent realizing of the topic. the 1st chapters conceal the anatomy and body structure, medical overview, surgical procedure, medication, genetics and laboratory checking out thinking about the present review and therapy of the infertile male, and the ultimate bankruptcy describes the interplay of the sector with woman reproductive medication. through the e-book, references are at once made to the fourth version of the main textual content within the uniqueness, Infertility within the Male, edited by means of Larry Lipshultz, Stuart Howards and Craig Niederberger, permitting readers to extend their knowing of particular components the place wanted. each one bankruptcy is written via a well-renowned specialist in a simple to stick with, casual type, making the textual content perfect for college students, citizens and common physicians who're looking to elevate their basic wisdom of the sector.

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Extra info for An Introduction to Male Reproductive Medicine

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1. We also make it available on our website, so patients may complete it before their initial office visit. The male physical exam A good physical exam orients the physician to conditions for which the patient may be unaware. Nowhere is this truer than in reproductive medicine. Men may be missing a vas deferens, or both, and be understandably completely unsuspecting of this anatomic loss. Likewise, a patient may not realize that his testes are small. Men do not typically inspect each other’s genitals.

The latter condition is referred to as “azoospermia,” and must be verified by centrifuging the semen sample. Once azoospermia is established, the next 43 44 Chapter 2: Clinical evaluation of the male diagnosis to make is whether it is due to obstruction, referred to as “obstructive azoospermia” (OA) or dysfunction in sperm production within the testis, referred to as “non-obstructive azoospermia” (NOA). The distinction is an important one to make, as in many cases OA may be resolved surgically, whereas NOA cannot.

The bladder neck and proximal part of urethra, both containing abundant smooth muscle fibers, receive a dual sympathetic and parasympathetic innervation. The external urethral sphincter and pelvic floor striated muscles are solely commanded by the somatic nervous system. The trigger of rhythmic pelvic striated muscles contractions responsible for the expulsion of sperm is still not clearly identified. It has been proposed that the expulsion phase of ejaculation is a reflex response to the presence of semen in the bulbous urethra.

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