ENDOCRINE EVALUATION OF MALE INFERTILITY. CLINICAL HISTORY & EXAMINATION TO R/O HYPOGONADISM. || SEMEN ANALYSIS NORMAL -NO FURTHER WORK UP. ABNORMAL REDUCED COUNT,MOTILITY AND ABNORMAL MORPHOLOGY.-NEEDS ENDOCRINE WORK UP RAISED FSH,LH. REDUCED TESTOSTERONE. *Klinefelter. *Trauma. *Radio/chemotherapy. RAISED FSH. NORMAL TESTOSTERONE. *Sertoli cell only syndrome. REDUCED FSH,LH,TESTOSTERONE. SECONDARY HYPOGONADISM *Prolactinomas. *Pituitary dysfunction. Advise MRI PITUITARY. NORMAL FSH,LH,TESTOSTERONE. EVALUATE FOR *Retrograde ejaculation. *Anti sperm antibodies. *Obstruction of vas /epididymis.

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Excellent ! Simplification cannot be done any better , Thanks for a good post !

Thank you doctor
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NICELY EXPLAINED MADAM JI. VERY USEFUL FOR RURAL PRIVATE PRACTITIONERS, LIKE ME .THANKS MADAM ...

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Anti sperm antibodies!! Thats something different. Through which test we can get to this diagnosis.. and thanx for above valuable info

Anti sperm antibodies(ASA) are immunoglobulins /antigens formed in response to antigens/proteins on the outer sperm membranes.antigens can only stimulate antibody production when they come in contact with the components of the blood.normally this is prevented by blood/testis barrier.ASA are produced when there is breach of blood/testis barrier by physical injury/chemical injury/infection.there are IgG,IgA, and IgM antibodies .they are detected by ELISA OR IMMUNO BEAD BINDING TEST. ICSI is the treatment of choice.
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Thanks for useful information.

Very nice post.thanks

Welcome doctor
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Good one mam, ,thanx

Very nice presentation.

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Excellent post mam...would love to learn the female endocrine workup from you .

very nice

Thank you doctor
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excellent post ....best treatment in unani medicine

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