Doctor insights on:
Does Dialysis Prevent Male Fertility
Chronic illness: Any chronic illness can have an impact on male fertility. One must consider the cause of the kidney failure, what medications or treatment the person has taken and is currently on, and how well they are responding to the treatment (intraperitoneal or hemodialysis). The better controlled the illness the less impact on fertility. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Kidney failure can.: It's probably not the dialysis, but the REASON a person is on dialysis, that can impact both sexual function and fertility. For example, if a man is diabetic or has high blood pressure, he may have difficulty getting and maintaining erections as a result of the disease, the medications needed, or blood flow to the genital area. Talk to your doctor about what can be done to evaluate this! ...Read more
Fertility: The ability to impregnate. Per http://americanpregnancy.org/infertility/male-infertility/ — "Male infertility factors contribute to approximately 30% of all infertility cases" ...Read more
Yes. Not a full test: The over-the-counter fertility test for men is called spermcheck and tests only sperm count (concentration): low or normal. Accuracy is ok. A full semen analysis (sa) through a fertility clinic looks at sperm count as well as motility (% that are moving) and morphology (% of normal-shaped sperm). Some clinics test sperm antibodies too. The home test is better than nothing but is not a full sa test. ...Read more
Yes: Both can have direct toxic effects at level of testicles. Smoking can create "oxygen radicals" that can directly effect sperm membranes and function of sperm. Both can have indirect effect at level of hypothalmus and pituitary, particularly alcohol, and effect stimulation properties on testicular production of sperm. Lastly, from testicles to ejaculation is 90d, thus effect can be long-lasting! ...Read more
No: Check out online. Epocrates. Com & drugs. Com for drug information including interactions. Neither make mention of male fertility as an issue of amlodipine, a calcium channel blocker commonly used to lower high blood pressure. However, issues associated w/high blood pressure may affect erectile function so best to address this w/your doctor. ...Read more
No (so far):
Avastin (bevacizumab) is a monoclonal antibody that inhibits blood vessel growth. It can impair fertility in women, but I don't find any studies that show reduction in male fertility. For the fda prescribing information with all side effects, go here:
http://www.Gene. Com/gene/products/information/pdf/avastin-prescribing. Pdf. ...Read more
It doesn't (so far): Avastin (bevacizumab) is a monoclonal antibody that inhibits blood vessel growth. It can impair fertility in women, but I don't find any studies that show reduction in male fertility. For the fda prescribing information with all side effects, go here: http://www.Gene. Com/gene/products/information/pdf/avastin-prescribing. Pdf. ...Read more
Unsure: Avastin (bevacizumab) has shown to be deterimental to female reporuductive potential with up to 30-35% have serious complications (ovarian failure). To my knowledge there are no studies on men. Any chemotherapy has the potential risk of causing fertility issues in the future. You may want to consider freezing sperm with a sperm bank or your local reproductive endocrinologist. Also, talk to your oncologist. ...Read more
Not good: Limited data last I checked, but consensus is that it is likely harmful. How harmful is variable and obviously depends on usage. Studies on tobacco and male fertility are sketchy but suggest around 15% reduction per conception cycle. It's not a good idea (for alot of reasons) for men when trying to conceive. ...Read more
See urologist : Management of "male infertility" depends on the nature and etiology of male infertility. For example, mildly decreased sperm count or severe (no sperm). There are several causes for having a low sperm count. Best to seek an urological evaluation to possibly determine the cause of an abnormal semen analysis. The etiology will determine the best option to correct the problem, if possible. ...Read more
Semen is the fluid associated with the ejaculate.
Semen contains sperm.
Sperm can be counted and the quality assessed.
These are the primary way to objectively assess fertility in a male.
Other factors are important: chromosomes, presence / absence of certain sugars in the ejaculate, presence /absence of infection in the ejaculate; retrograde flow of sperm to the bladder can be a culprit. ...Read more
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