Page 1 of 1: testicular Failure! management

rick12 · Credits: 3568 Preparing for: Maharashtra PG My Scrapbook

i came across a case... he is 34yr old male, married, no issue, the couple is under treatment for 8 yrs for primary infertility..
In the due course of time ... the sperm count of this male started declining.. and presently 3 consequetive semen analysis have shown occasional sperms...
hormaonal assay FSH ,LH are raised serum prolactin is normal.. testosterone is slightly below normal...
most importantly testicular size is less than normal.
what does it appear clinically? may be testicular failure..
this fellow has been taking aadizoa, etc ( many avuryedic preparations)
already been given HCG injections earlier... that had shown little impovement in counts

how do we further proceed in this case!
kindly help
plz elaborate what investigation.... what drugs to be given....

skjeev · Credits: 8700 Preparing for: AIPGE My Scrapbook

by HCG do u mean menopausal GnRH?HOW DOES HCG HELP?

was tsh,thyroxine done?

other male causes ruled out?

hypothalamus,pitutary,primary gonadal?

i really am guessing,if the couple is desparate intrauterine semen infusion/ivf seems to be appropriate.bfore that ..is the husband on thyroxine,did he take the medication regularly?
thourogh evaluation shuould be done;

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skjeev · Credits: 8700 Preparing for: AIPGE My Scrapbook

hope the link helps,GOOD LUCK!

123jamal · Credits: 527 My Scrapbook

goood

shravani · Credits: 6512 Preparing for: USMLE Step 1 My Scrapbook

i think this may help u

Marked fluctuations in sperm count (fluctuation range, 100X 106/ml) are observed in both normal and infertile males. therefore, at least 3 semen analyses should be carried out before the treatment.
This clinical observation showed that significant improvement could be traced especially in patients with the sperm counts of pre-treatment were exceeded 10X 106/ml.
Plasma FSH, LH, and testosterone should be measured in cases of small testis with severe oligospermia, and azoospermia.
Infertile patients with extremely high FSH Level, hypergonadotropic hypogonadism, was not responded to the medical therapy.
There is suggestive evidence that the combined use of 5 different regimens such as HCG, Testosterone, Liothyronine, L-Arginine, and AICAMIN in the forms of continuous medication at least for the period of 3 months, seems to be more effective than any others. However, this evidence was not conclusive since it has been noted that with some medications, the deteriorated effect was greater than the improved effect

sharathmp · Credits: 3566 Preparing for: AIPGE My Scrapbook

dood going guys

sharathmp · Credits: 3566 Preparing for: AIPGE My Scrapbook

good going guys

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