Comments for Turek On Men's Health http://turekonmenshealth.com Dr. Paul Turek on Men's Health Mon, 14 May 2012 04:21:18 +0000 hourly 1 http://wordpress.org/?v=3.3.2 Comment on That Azoospermic Feeling by Paul Turek, MD http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8850 Paul Turek, MD Mon, 14 May 2012 04:21:18 +0000 http://turekonmenshealth.com/?p=1270#comment-8850 Dear Shahid, That is quite a story! I must admit, the reaction that your husband is having to hearing the news of having no sperm count is common. It is tough to take. I will also say that you may need some time for him to "come around" as most men want what their partner's want in the long run. Keep the faith. Keep the hope. Regarding the homeopathic approach, it is very popular in some countries. I believe it has a role but what you can ask from it might be more limited than, say FNA mapping or assisted reproduction. Consider a Second Opinion http://www.theturekclinic.com/urologist-san-francisco.html) by contacting us to see if we can provide information that may help you both. Dear Shahid, That is quite a story! I must admit, the reaction that your husband is having to hearing the news of having no sperm count is common. It is tough to take. I will also say that you may need some time for him to “come around” as most men want what their partner’s want in the long run. Keep the faith. Keep the hope.

Regarding the homeopathic approach, it is very popular in some countries. I believe it has a role but what you can ask from it might be more limited than, say FNA mapping or assisted reproduction. Consider a Second Opinion http://www.theturekclinic.com/urologist-san-francisco.html) by contacting us to see if we can provide information that may help you both.

]]> Comment on Fertility from Sterility by Paul Turek, MD http://turekonmenshealth.com/2011/11/07/fertility-from-sterility-azoospermia-sperm-retrieval-fna-mapping/comment-page-1/#comment-8849 Paul Turek, MD Mon, 14 May 2012 04:08:42 +0000 http://turekonmenshealth.com/?p=3062#comment-8849 Ratan, I understand your situation. Although it is too big a deal to come see me in San Francisco, you can also consider asking for a "Second Opinion" on the website (http://www.theturekclinic.com/urologist-san-francisco.html). In this way, I can comment on the quality of the care that you are getting, suggest what you may need and help out where I can. Works for many who live far away. And, recently I helped a couple with their first pregnancy and I never actually met them!! Ratan, I understand your situation. Although it is too big a deal to come see me in San Francisco, you can also consider asking for a “Second Opinion” on the website (http://www.theturekclinic.com/urologist-san-francisco.html). In this way, I can comment on the quality of the care that you are getting, suggest what you may need and help out where I can. Works for many who live far away. And, recently I helped a couple with their first pregnancy and I never actually met them!!

]]> Comment on That Azoospermic Feeling by shahid http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8843 shahid Sun, 13 May 2012 14:47:31 +0000 http://turekonmenshealth.com/?p=1270#comment-8843 Dear Doctor, I live in Pakistan. I am 32 and my husband is of 33 years old. We got married in October 2010. In Feb 2011 I got to gynecologist to get my check up for why I could not get pregnant. She got ultrasound report and my menstruation cycle all was normal. On her advice we got to get sementic analysis. And it was figured out that my husband has no semens to be tested. I took to consult gynecologist and urologist in my first attempt. They took a blood sample and FSH(found to be 8.7) and Testosteron(found to be 2.9) hormone was tested and urine test showed an infrction causing blood drops from 2-3 in urine. Report datwd: 28 May 2011 was as under: Physical Examination: Color: yellow Sp.Gravity: 1018 Turbidity: Nil Deposit: Nil Chemical Examination: PH: 5.0 Sugar: NIL Protein: Nil Ketone : Nil Urobilinogen: Normal Bilirubin: Nil Blood: Nil Bile salts: Nil Nitrite: Nil Microscopic Examination / H.P.F : Pus cells: 1-2 Epithelal cells: 2-3 Red Blood Cells: Nil Crystals: Nil Crystals: Nil Casts: Nil Casts: Nil Amorphous: Nil Organisms: Nil Others: Nil Renal Funtion Tests Dated: 15 May2011 are as under: Serum Creatinine 1.3 Blood Haematology Dated: 14 May 2011 as under: Haemoglobin: 13.4 T.L.C: 6800 E.S.R: 55mm/1st hour D.L.C: Neutrophils: 60% Lymphocytes: 35% Monocytes: 03% Esinophils: 02% The Urologist had examined him and said that he needs to take an X-ray of testes and a tissue of testis will be taken to examin whether sperms are produced or not. After hearing this my husband never turned up to medical treatment he simply refused. He is inclined more to take herbal / homeopathic medicine to increase the fluid at ejaculation. We have taken herbal medicin which took him to svere cough and its impact was such that he found difficulty in erection or lost of erection. Homeopathic treatment effected in this regard that his erection is controlled now. But to get a pregnancy is still a dream. He psychologically is disturbed as he wants to get a baby if I want but have no interest in sincere medication and its me who want to get information atleast from internet to find the word azoospermia for his problem. In Feb 2011,after marriage, he revealed that before 7 years he got worried of no semens and tells that he has not experienced more than a drop in his early adulthood. Now I again asked him not to waste his and my time to these herbal or homeopathic medication and go to the same urologist for that treatment he is not agreeing for that even. What he has done is got a shipment from USA for a medicine named Volume Plus Semen Booster manufactured in USA for Moving Ahead Inc. containing : Zinc as Zinc oxide: 50 mg,L Arginine as L-Arginine Hydrochloride, L-Lysine as L-Lysine Hydrochloride, Homy Goat Weed (Epimediumsagittatum), Muria Puama(Ptychopetalum olacoides); Hawthorn Berry (Crataeguspinnatifida), Cranberry juice(Vacciniium oxycoccos), L-Camitine(as L-Camitine Fumarate), Catuaba Bark (Erythroxylum catuaba), Pumpkin seed (curcubitamaxima), Tribulus fruit(tribulus terrestris), oat straw10:1 PE (Avena sativa), maca root (lypedium meyenii), longjack root (eurycomalongifolia), sarsaparilla root (smilax species),Licorice root (glycyrrhiza glabra). I have not let him use this volume plus for semen boosting. I do not want to harm any of his health side to intake unadvised medicine. I beg you to kindly help me in this regard I have been reading all the day and night on internet how to get pregnant and reached your webpage. I look forward to read from you soon as I have kept all the incidents before you from A-Z. I want you to hear me and advise us and tell us what is the right way to adopt and what is less hazardous. And whether I can have a baby or I will die without anything in my lap………Please advise me can I get this mapping if it suits my husband in Pakistan???? What should I do doctor?? Dear Doctor,
I live in Pakistan. I am 32 and my husband is of 33 years old. We got married in October 2010. In Feb 2011 I got to gynecologist to get my check up for why I could not get pregnant. She got ultrasound report and my menstruation cycle all was normal. On her advice we got to get sementic analysis. And it was figured out that my husband has no semens to be tested. I took to consult gynecologist and urologist in my first attempt. They took a blood sample and FSH(found to be 8.7) and Testosteron(found to be 2.9) hormone was tested and urine test showed an infrction causing blood drops from 2-3 in urine. Report datwd: 28 May 2011 was as under:
Physical Examination:
Color: yellow
Sp.Gravity: 1018
Turbidity: Nil
Deposit: Nil
Chemical Examination:
PH: 5.0
Sugar: NIL
Protein: Nil
Ketone : Nil
Urobilinogen: Normal
Bilirubin: Nil
Blood: Nil
Bile salts: Nil
Nitrite: Nil
Microscopic Examination / H.P.F :
Pus cells: 1-2
Epithelal cells: 2-3
Red Blood Cells: Nil
Crystals: Nil
Crystals: Nil
Casts: Nil
Casts: Nil
Amorphous: Nil
Organisms: Nil
Others: Nil
Renal Funtion Tests Dated: 15 May2011 are as under:
Serum Creatinine 1.3
Blood Haematology Dated: 14 May 2011 as under:
Haemoglobin: 13.4
T.L.C: 6800
E.S.R: 55mm/1st hour
D.L.C:
Neutrophils: 60%
Lymphocytes: 35%
Monocytes: 03%
Esinophils: 02%
The Urologist had examined him and said that he needs to take an X-ray of testes and a tissue of testis will be taken to examin whether sperms are produced or not. After hearing this my husband never turned up to medical treatment he simply refused. He is inclined more to take herbal / homeopathic medicine to increase the fluid at ejaculation. We have taken herbal medicin which took him to svere cough and its impact was such that he found difficulty in erection or lost of erection. Homeopathic treatment effected in this regard that his erection is controlled now. But to get a pregnancy is still a dream. He psychologically is disturbed as he wants to get a baby if I want but have no interest in sincere medication and its me who want to get information atleast from internet to find the word azoospermia for his problem. In Feb 2011,after marriage, he revealed that before 7 years he got worried of no semens and tells that he has not experienced more than a drop in his early adulthood. Now I again asked him not to waste his and my time to these herbal or homeopathic medication and go to the same urologist for that treatment he is not agreeing for that even.
What he has done is got a shipment from USA for a medicine named Volume Plus Semen Booster manufactured in USA for Moving Ahead Inc. containing : Zinc as Zinc oxide: 50 mg,L Arginine as L-Arginine Hydrochloride, L-Lysine as L-Lysine Hydrochloride, Homy Goat Weed (Epimediumsagittatum), Muria Puama(Ptychopetalum olacoides); Hawthorn Berry (Crataeguspinnatifida), Cranberry juice(Vacciniium oxycoccos), L-Camitine(as L-Camitine Fumarate), Catuaba Bark (Erythroxylum catuaba), Pumpkin seed (curcubitamaxima), Tribulus fruit(tribulus terrestris), oat straw10:1 PE (Avena sativa), maca root (lypedium meyenii), longjack root (eurycomalongifolia), sarsaparilla root (smilax species),Licorice root (glycyrrhiza glabra).
I have not let him use this volume plus for semen boosting. I do not want to harm any of his health side to intake unadvised medicine. I beg you to kindly help me in this regard I have been reading all the day and night on internet how to get pregnant and reached your webpage. I look forward to read from you soon as I have kept all the incidents before you from A-Z. I want you to hear me and advise us and tell us what is the right way to adopt and what is less hazardous. And whether I can have a baby or I will die without anything in my lap………Please advise me can I get this mapping if it suits my husband in Pakistan???? What should I do doctor??

]]> Comment on Fertility from Sterility by Ratan http://turekonmenshealth.com/2011/11/07/fertility-from-sterility-azoospermia-sperm-retrieval-fna-mapping/comment-page-1/#comment-8837 Ratan Sat, 12 May 2012 17:34:28 +0000 http://turekonmenshealth.com/?p=3062#comment-8837 I am 28 yrs and married 2 yrs back but yet no issue. I got examine by Dr. and seman exam. and Azoosperima came. I fear that I never become Father. I request to kinly help me and advised me further treatment. As i live in India but i can not come to your place due to ecominally condition. pl. help me. I am 28 yrs and married 2 yrs back but yet no issue. I got examine by Dr. and seman exam. and Azoosperima came. I fear that I never become Father. I request to kinly help me and advised me further treatment. As i live in India but i can not come to your place due to ecominally condition. pl. help me.

]]> Comment on That Azoospermic Feeling by Brian Choi http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8825 Brian Choi Wed, 09 May 2012 17:49:33 +0000 http://turekonmenshealth.com/?p=1270#comment-8825 Dr. Turek, I have a general question regarding FSH and testicular volume. I have been reading many medical papers and journals regarding the likelihood of retrieving sperm and FSH, testicular volume, Johnsen's score, and the presence of spermatids. It seems from these papers, there is almost a consensus that azoospermic men with FSH levels > 25 or so have an extremely slim chance ( < 5%, in many cases 0%) of having any sort of spermatogenesis and, hence, finding any sperm. As I stated before, my FSH level is 41.9 mIU/mL, with testicular volume of approx 6-7mL (for each testis). Though my testicular volume seems fine (from the studies I've read), my FSH level is far higher than ANY patients for which they found sperm (the highest FSH value was 19.4, amongst all the papers I've read). Can you please shed some light and your opinion on this matter? I'm a bit disheartened by these findings which seem, as far as I can tell, to have been performed rather well in a controlled and careful experimental environment. Many thanks again. Brian Dr. Turek,

I have a general question regarding FSH and testicular volume. I have been reading many medical papers and journals regarding the likelihood of retrieving sperm and FSH, testicular volume, Johnsen’s score, and the presence of spermatids. It seems from these papers, there is almost a consensus that azoospermic men with FSH levels > 25 or so have an extremely slim chance ( < 5%, in many cases 0%) of having any sort of spermatogenesis and, hence, finding any sperm. As I stated before, my FSH level is 41.9 mIU/mL, with testicular volume of approx 6-7mL (for each testis). Though my testicular volume seems fine (from the studies I've read), my FSH level is far higher than ANY patients for which they found sperm (the highest FSH value was 19.4, amongst all the papers I've read). Can you please shed some light and your opinion on this matter? I'm a bit disheartened by these findings which seem, as far as I can tell, to have been performed rather well in a controlled and careful experimental environment. Many thanks again.

Brian

]]> Comment on That Azoospermic Feeling by Paul Turek, MD http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8821 Paul Turek, MD Wed, 09 May 2012 01:05:05 +0000 http://turekonmenshealth.com/?p=1270#comment-8821 Brian, it takes about 10-14 working days to get the results after FNA mapping. The slides are reviewed by a specially trained team of pathologists, including me at the end. So, the earliest a sperm retrieval can be done after FNA mapping is 2- 3 weeks. Brian, it takes about 10-14 working days to get the results after FNA mapping. The slides are reviewed by a specially trained team of pathologists, including me at the end. So, the earliest a sperm retrieval can be done after FNA mapping is 2- 3 weeks.

]]> Comment on That Azoospermic Feeling by Paul Turek, MD http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8820 Paul Turek, MD Wed, 09 May 2012 01:02:17 +0000 http://turekonmenshealth.com/?p=1270#comment-8820 The Turek Clinic 55 Francisco St Suite 300 San Francsico, CA 94133 Call 415-392-3200 to organize The Turek Clinic
55 Francisco St
Suite 300
San Francsico, CA 94133
Call 415-392-3200 to organize

]]> Comment on Diabetes Mellitus: The Infertility Triple Threat by Paul Turek, MD http://turekonmenshealth.com/2012/03/26/diabetes-mellitus-male-infertility-triple-threat/comment-page-1/#comment-8819 Paul Turek, MD Wed, 09 May 2012 00:47:06 +0000 http://turekonmenshealth.com/?p=3725#comment-8819 Holly, yes I have and pretty much routinely. I use FNA mapping to tell whether there might be a sperm production problem in testis or an ejaculation issue with diabetes induced anejaculation. Sperm from mapped testicles works as well as that from elsewhere from these patients. Testis sperm does require IVF-ICSI however. Pregnancy rates are largely determined by FEMALE issues at that point so exact success rates are hard to quote. Holly, yes I have and pretty much routinely. I use FNA mapping to tell whether there might be a sperm production problem in testis or an ejaculation issue with diabetes induced anejaculation. Sperm from mapped testicles works as well as that from elsewhere from these patients. Testis sperm does require IVF-ICSI however. Pregnancy rates are largely determined by FEMALE issues at that point so exact success rates are hard to quote.

]]> Comment on That Azoospermic Feeling by KVR http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8815 KVR Tue, 08 May 2012 09:52:17 +0000 http://turekonmenshealth.com/?p=1270#comment-8815 Thanks you very much for the response sir. Please provide me the address, i will send you the slides. Thanks you very much for the response sir.
Please provide me the address, i will send you the slides.

]]> Comment on Diabetes Mellitus: The Infertility Triple Threat by Holly http://turekonmenshealth.com/2012/03/26/diabetes-mellitus-male-infertility-triple-threat/comment-page-1/#comment-8813 Holly Tue, 08 May 2012 04:33:27 +0000 http://turekonmenshealth.com/?p=3725#comment-8813 Hello Dr. Turek ~ Have you helped diabetic couples where the male patient had to do a sperm mapping procedure and the couple was able to conceive after? What are the statistics? Hello Dr. Turek ~
Have you helped diabetic couples where the male patient had to do a sperm mapping procedure and the couple was able to conceive after? What are the statistics?

]]> Comment on That Azoospermic Feeling by Laura http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8812 Laura Tue, 08 May 2012 04:15:40 +0000 http://turekonmenshealth.com/?p=1270#comment-8812 Thank you so much for the response. My husband and I are looking forward to exploring this option. We will be calling to schedule a consultation soon. Thanks for your time. Thank you so much for the response. My husband and I are looking forward to exploring this option. We will be calling to schedule a consultation soon. Thanks for your time.

]]> Comment on That Azoospermic Feeling by Brian Choi http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8811 Brian Choi Tue, 08 May 2012 03:17:43 +0000 http://turekonmenshealth.com/?p=1270#comment-8811 Dr. Turek, When you mention “after mapping: proceed immediately,” I just wanted to make sure I understood this correctly. I am assuming you mean that if FNA mapping results in positive results for finding sperm, then proceed immediately to TESA/TESE whereas wait ~3months if moving forward with mTESE? Also, when you say proceed immediately, are you stating that one can literally undergo TESA/TESE a few days (for instance) after FNA mapping? Thank you again for your time. Brian Dr. Turek,

When you mention “after mapping: proceed immediately,” I just wanted to make sure I understood this correctly. I am assuming you mean that if FNA mapping results in positive results for finding sperm, then proceed immediately to TESA/TESE whereas wait ~3months if moving forward with mTESE? Also, when you say proceed immediately, are you stating that one can literally undergo TESA/TESE a few days (for instance) after FNA mapping? Thank you again for your time.

Brian

]]> Comment on That Azoospermic Feeling by Paul Turek, MD http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8810 Paul Turek, MD Tue, 08 May 2012 02:00:52 +0000 http://turekonmenshealth.com/?p=1270#comment-8810 Laura, yes there is. In one of our original FNA mapping papers that we published in 2000 (12 years ago!), we found that sperm could be detetected in 27% of testes in which a prior biospy showed no sperm (like Sertoli cell only). In addition, the opposite testis had sperm 20% of the time. This study employed a "maP' of 8 sites. Now we use 18 sites/testis! Laura, yes there is. In one of our original FNA mapping papers that we published in 2000 (12 years ago!), we found that sperm could be detetected in 27% of testes in which a prior biospy showed no sperm (like Sertoli cell only). In addition, the opposite testis had sperm 20% of the time. This study employed a “maP’ of 8 sites. Now we use 18 sites/testis!

]]> Comment on That Azoospermic Feeling by Laura http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8809 Laura Mon, 07 May 2012 23:52:15 +0000 http://turekonmenshealth.com/?p=1270#comment-8809 Hi Dr. Turek, My husbands testicular biopsy showed sertoli cell only. Is there still a chance we could find sperm with a different technique? Hi Dr. Turek,
My husbands testicular biopsy showed sertoli cell only. Is there still a chance we could find sperm with a different technique?

]]> Comment on That Azoospermic Feeling by Brian Choi http://turekonmenshealth.com/2011/02/07/that-azoospermia-feeling-vasectomy/comment-page-2/#comment-8803 Brian Choi Mon, 07 May 2012 16:45:14 +0000 http://turekonmenshealth.com/?p=1270#comment-8803 Dr. Turek, When you mention "after mapping: proceed immediately," I just wanted to make sure I understood this correctly. I am assuming you mean that if FNA mapping results in positive results for finding sperm, then proceed immediately to TESA/TESE whereas wait ~3months if moving forward with mTESE? Also, when you say proceed immediately, are you stating that one can literally undergo TESA/TESE a few days (for instance) after FNA mapping? Thank you again for your time. Brian Brian Dr. Turek,

When you mention “after mapping: proceed immediately,” I just wanted to make sure I understood this correctly. I am assuming you mean that if FNA mapping results in positive results for finding sperm, then proceed immediately to TESA/TESE whereas wait ~3months if moving forward with mTESE? Also, when you say proceed immediately, are you stating that one can literally undergo TESA/TESE a few days (for instance) after FNA mapping? Thank you again for your time.

Brian

Brian

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