Presentation
Primary testicular failure occurs in approximately 1% of all men, and is present in 10% of those obtaining medical consultation for infertility. [wellinghomeopathy.com]
presenting with spermatogenic failure. [abdominalkey.com]
Definition / general Biopsy indicated for azoospermia (no sperm present) without endocrine abnormalities, since biopsies may show focal spermatogenesis Most biopsies have 3 - 5 lobules plus septa of tunica albuginea Usually see many spermatozoa, "perfect [pathologyoutlines.com]
In hypospermatogenesis all the stages of spermatogenesis are present in some or all tubules, but they are reduced in number. [omicsonline.org]
Men may be offered a testis biopsy to define whether an obstruction or spermatogenic failure is present. [emedicine.medscape.com]
Hematological
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Hemophilia A
A, 306700 (3)- F8 Hemophilia B, 306900 (3)- F9 Hemorrhage, intracerebral, susceptibility to, 614519 (3)- COL4A1 Hemorrhagic diathesis due to antithrombin Pittsburgh, 613490 (3)- SERPINA1 Hepatic adenoma, somatic, 142330 (3)- HNF1A Hepatic lipase deficiency [rcpa.edu.au]
Factor V Leiden CPT CODE: 81241 Panel of Factor V Leiden and Prothrombin CPT CODE: 81241, 81240 Panel of Factor V Leiden, Prothrombin and MTHFR CPT CODE: 81241, 81240, 81291 Go to top FACTOR XI DEFICIENCY (Hemophilia C, Plasma Thromboplastin Antecedent [chginc.org]
Due To Glucose Phosphate Isomerase Deficiency 1 Hemophagocytic Lymphohistiocytosis, Familial, 2 2 Hemophagocytic Lymphohistiocytosis, Familial, 3 2 Hemophagocytic Lymphohistiocytosis, Familial, 4 2 Hemophagocytic lymphohistiocytosis, Familial, 5 2 Hemophilia [preventiongenetics.com]
Entire Body System
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Falling
The numerous etiologies for azoospermia fall into three categories: pre-testicular, testicular and post-testicular. [auanet.org]
However sperm motility tends to fall with prolonged periods of abstinence of more than 5 days and therefore it is recommended that semen for analysis is collected after 72 hours. [onlinelibrary.wiley.com]
Many patients display a cluster of clinical features that fall into a specific clinical syndrome; however, there is often considerable clinical variability. [chginc.org]
300306 (3)- SLC6A14 Obesity, susceptibility to, BMIQ12, 612362 (3)- PCSK1 Obesity, susceptibility to, BMIQ14, 612460 (3)- FTO Occipital horn syndrome, 304150 (3)- ATP7A Occult macular dystrophy, 613587 (3)- RP1L1 Ocular albinism, type I, Nettleship-Falls [rcpa.edu.au]
[…] cofactor deficiency, type C, 252150 (3) GPI 172400 Hemolytic anemia, nonspherocytic, due to glucose phosphate isomerase deficiency, 613470 (3) GPR143 300808 Nystagmus 6, congenital, X-linked, 300814 (3) GPR143 300808 Ocular albinism, type I, Nettleship-Falls [usegalaxy.org]
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Fishing
Organisation for Economic Co-operation and Development, 1990 Multilingual dictionary of fish and fish products. Fishing News Books, Oxford. Pauly, D., 1978 A preliminary compilation of fish length growth parameters. Ber. Inst. Meereskd. [ittiofauna.org]
Since interphase FISH with Y probes in testicular samples from AZF deleted patients was not performed, we cannot exclude the possibility of a 45,X cell line in the target tissue. [jmg.bmj.com]
Muscles, Congenital, 1 1 Fibrosis Of Extraocular Muscles, Congenital, 2 2 Fibrosis Of Extraocular Muscles, Congenital, 3A, With Or Without Extraocular Involvement 2 Fibular Hypoplasia And Complex Brachydactyly 1 Finnish Congenital Nephrotic Syndrome 2 Fish-Eye [preventiongenetics.com]
Further studies, including FISH deletion analysis and uniparental disomy studies (which require parental blood samples), are available and recommended following a positive methylation test result. [chginc.org]
[…] congenital with mental retardation), type B, 6, 608840 (3) LBR 600024 HEM skeletal dysplasia, 215140 (3) LBR 600024 Pelger-Huet anomaly, 169400 (3) LBR 600024 Reynolds syndrome, 613471 (3) LCA5 611408 Leber congenital amaurosis 5, 604537 (3) LCAT 606967 Fish-eye [usegalaxy.org]
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Weight Loss
One-day corrosion weight loss under oxygenated stirring conditions was equivalent to 1.31-day weight loss under stationary conditions, and the corrosion rate under oxygenated conditions was 1.31 times higher than that under stationary conditions. [worldwidescience.org]
Abdominal pain, weakness, lethargy, and weight loss are early symptoms of the disease. Hereditary hemochromatosis (HHC) may be detected using direct DNA analysis. [chginc.org]
loss in}, 607499 (3) BDNF 113505 {Memory impairment, susceptibility to} (3) BDNF 113505 {Obsessive-compulsive disorder, protection against}, 164230 (3) BEAN1 612051 Spinocerebellar ataxia 31, 117210 (3) BEST1 607854 Best macular dystrophy, 153700 (3) [usegalaxy.org]
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Physician
Additional Contributors Erik T Goluboff, MD Professor, Department of Urology, College of Physicians and Surgeons, Columbia University College of Physicians and Surgeons; Director of Urology, Allen Pavilion, New York Presbyterian Hospital Erik T Goluboff [emedicine.medscape.com]
The updated document was submitted for peer review, and comments from 21 physicians and researchers were considered by the Panel in making revisions. The final document has been approved by the AUA PGC and the BOD. [auanet.org]
The physician needs ancillary diagnostic tests. [worldwidescience.org]
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Thyroid Nodule
nodules; and new coverage of when and when not to use radioiodine in the treatment of patients with thyroid cancer. [books.google.com]
Respiratoric
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Aspiration
Stay up to date with expanded discussions of autoimmune thyroid diseases, mechanisms, and the appropriate treatment of the ophthalmopathy of Graves' disease; a new section on the interpretation of fine needle aspiration results in patients with thyroid [books.google.com]
Sperm Retrieval Techniques The most common methods for sperm retrieval include fine-needle aspiration (FNA)/testicular sperm aspiration (TESA), conventional (multi-biopsy) TESE, and micro-TESE. [abdominalkey.com]
(FNA) Used to differentiate normal testis, hypospermatogenesis, early and late maturation arrest, Sertoli cell only patterns Minimally invasive, may replace testis biopsy 2 - 11 aspiration sites, 10 - 30 needle excursions / site; adequate if 100 clusters [pathologyoutlines.com]
Some investigators discuss the use of fine-needle aspiration cytology (FNAC) prior to biopsy as a less invasive means of establishing a diagnosis. [emedicine.medscape.com]
Neurologic
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Personality Change
Copper accumulation in tissues and organs can lead to liver disease, neurological symptoms including movement disorders, dysarthria, dystonia, migraines and seizures; and psychiatric symptoms including depression, personality changes and psychoses. [chginc.org]
It gives a history of cable usage and design of cables, describes different cable types, assessment of the condition of cables, aging and failures, testing and diagnostics Personality Changes as a Function of Minimum Competency Test Success or Failure [worldwidescience.org]
Workup
Single nucleotide polymorphisms in two of these genes ( TEX11 and MLH3 ) were found to be associated with male infertility involving azoospermy or oligospermia. [12] Diagnosis [ edit ] Algorithms for the workup of the infertile male. [en.wikipedia.org]
Workup Laboratory Studies Men undergoing evaluation for infertility typically undergo hormonal evaluation with follicle-stimulating hormone (FSH) and testosterone studies. Luteinizing hormone (LH) and prolactin testing are not routinely necessary. [emedicine.medscape.com]
References Schlegel PN (1991) How to do a workup for male infertility. Med Aspect Hum Sexuality 25: 28-34. [omicsonline.org]
Current status of the molecular diagnosis of Y chromosome microdeletions in the workup of male infertility. Hum Reprod 1998; 13(7): 1764-1768. 28. Pryor JL, Kent-First MG, Muallem A, Van Bergen AH, Nolten WE, Meisner L, et al. [indianjurol.com]
Thus, SYCP3 testing may be considered in the workup for women with recurrent pregnancy loss, and in males with non-obstructive azoospermia. Our laboratory offers DNA sequencing of all coding exons (2-9) of the SYCP3 gene. [chginc.org]
Treatment
[…] nodules; and new coverage of when and when not to use radioiodine in the treatment of patients with thyroid cancer. [books.google.com]
Treatment of Sertoli cell-only syndrome A customised Homeopathy treatment at Welling Clinic has proven to act at the deepest level, stimulating the germ cells and thus helping in the treatment of Sertoli cell-only syndrome. [wellinghomeopathy.com]
Modifiable lifestyle factors can have an impact on male fertility, but medical treatments have a limited value in enhancing semen quality. Most treatments are based on assisted fertilisation techniques, rather than treatment of the underlying cause. [onlinelibrary.wiley.com]
It was initially reported in 1993 in cases of obstructive azoospermia and later used for treatment of men with spermatogenic failure. [abdominalkey.com]
Prognosis
Of note, a subset of men within this cohort, patients with normal volume testes (greater than 15 cc) and FSH levels between 10 and 15 IU/L, have a much poorer prognosis, with a retrieval rate of 5.9%. [abdominalkey.com]
Although the prognosis for sperm retrieval is poor for patients with large deletions involving AZF region a or b, the results of Y chromosome deletion analysis cannot absolutely predict the absence of sperm. References 1. [auanet.org]
AZFc micro-deletions have a good prognosis for surgical sperm recovery whereas the prognostic value for sperm recovery in AZFa and AZFb micro-deletions is poor[ 51 ] and such individuals should not be offered surgical sperm retrieval. [onlinelibrary.wiley.com]
Evaluation The evaluation of a patient with azoospermia is performed to determine the etiology, prognosis, treatment options and counseling. [omicsonline.org]
This triggers progressive organ dysfunction, immune system activation and profound metabolic derangements, creating a milieu similar to other chronic systemic diseases and presenting as advanced HF with severely limited prognosis. [worldwidescience.org]
Etiology
The seminiferous tubules are lined by Sertoli cells which may resemble immature (prepubertal) or mature Sertoli cells, or have other changes which may correlate with specific etiologies and clinical findings. [wellinghomeopathy.com]
Testicular etiologies (primary testicular failure) involve disorders of spermatogenesis intrinsic to the testes. [auanet.org]
We are working on primary testicular failure on various etiological aspects, including genotype phenotype co-relation using array CGH. [omicsonline.org]
Surgical Sperm Retrieval Rates According to Etiology of Spermatogenic Failure Given the success noted with surgical sperm retrieval, attention has turned to delineating the likelihood of retrieval according to the presumed cause of spermatogenic failure [abdominalkey.com]
[…] effect of vitrectomy gauge (20-, 23-, and 25- gauge and vitreous cutting rate (1,500 and 5,000 cuts per minute on the viability of bacterial culture was evaluated in an in vitro prospective laboratory investigation.Main outcome measures: Comparison of etiology [worldwidescience.org]
Epidemiology
Epidemiology of male infertility It is difficult to estimate the prevalence of male infertility in the general population, as reported fertility rates are dependent upon numerous factors, such as coital frequency, and do not necessarily reflect biological [onlinelibrary.wiley.com]
However, the effects of repeat testing on HIV epidemiology needs to be explored. [worldwidescience.org]
Pathophysiology
In order to understand the pathophysiologic basis of acute respiratory failure, an understanding of pulmonary gas exchange is essential. [emedicine.medscape.com]
Mast cells releasing inflammatory mediators appear to directly suppress sperm motility in a potentially reversible manner, and may be a common pathophysiological mechanism for many causes leading to inflammation. [5] Testicular azoospermia is a kind of [en.wikipedia.org]
This initial information should excite more specific work to explore underlying pathophysiology and pathways that in future could help in understanding and managing primary testicular failure. [omicsonline.org]
Prevention
Interacts with PBXIP1; may prevent interaction between PBXIP1 and ESR2 (By similarity). Interacts with SHOC1 (PubMed: 29742103 ). [uniprot.org]
Romeo C, Santoro G (2009) Varicocele and infertility: why a prevention? J Endocrinol Invest 32: 559-561. [omicsonline.org]
Since certain Y deletion are associated with a progressive change from oligospermia to azoospermia, [29] preventive therapy (cryoconservation) of sperm for successive assisted reproduction techniques could be proposed to affected sons. [40] Although substantial [indianjurol.com]
An algorithm that can reliably discriminate between ventricular tachyarrhythmias and noise due to lead failure may prevent patient discomfort and anxiety and avoid device-induced proarrhythmia by preventing inappropriate ICD shocks. [worldwidescience.org]
For some samples, the same or similar number of CAG triplet repeats in the androgen receptor gene on both copies of the X chromosome prevents the determination of the X- inactivation ratio. [chginc.org]