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Treatment of Migraine Treatment
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Hiv Prophylaxis Post Exposure
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I had pimple marks and some inflammation on nose. Apart from some medicine, my doctor advised me to apply elocon cream to apply on nose. After reading a little about this, I am little suspicious. Please suggest.
Sir I have been masturbating for last almost 3 years. Now I am realising that my sex power is getting weak. My penis doesn't get hard enough for intercourse. Whats should I have to do to gain my power back and shouldshould I have to use medicine. please help me.
I am suffering from headache since last 5 days. When I tried to study forcefully then I have more headache. Please tell me that how can I concentrate in study.
Dear doctors Me and my wife wants to do anal sex. We try to do but unable to insert my penis in anus. Please guide how to do anal sex?
Surgical Sperm Retrieval (TESA/PESA/MESA)
The main methods of surgical sperm retrieval available include:
PESA: percutaneous epididymal sperm aspiration.
MESA: microsurgical epididymal sperm aspiration.
TESA: testicular sperm aspiration. This includes testicular fine needle aspiration (TFNA).
TESE: testicular sperm extraction.
Perc biopsy: percutaneous biopsy of the testis.
Which method is used depends on the nature of the problem in the male partner, which needs to be explored carefully first.
Tests required before surgical sperm retrieval
A man that produces no sperm in his semen is said to have azoospermia. This may be because of a blockage in one of the tubes that carry sperm from the areas of the testes where they are produced, out to the penis during ejaculation. Obstructive azoospermia can be caused by testicular cancer, as the tumour presses on the vas deferens. This type of cancer is common in young men and can be treated successfully. It can, however, lead to infertility, so surgical sperm retrieval may be performed to store some sperm before treatment begins.
Other conditions cause non-obstructive azoospermia, including having an abnormal cystic fibrosis gene. Men with this condition may not show all the symptoms, but they often have no vas deferens. Surgical sperm retrieval is possible but there is a 50:50 chance that the embryos produced by subsequent ICSI and IVF will have the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IUI) or IVF, or having pre-implantation genetic diagnosis (PGD) performed on the embryos to select ones that carry the normal gene.
If the problem that underlies poor sperm production is physical rather than genetic, or if a couple wants to have children after the male partner has had a vasectomy that cannot be reversed, surgical sperm retrieval can go ahead
Surgical sperm retrieval techniques used when obstruction is the problem
When the release of sperm is prevented by a blockage in the vas deferens, or by a vasectomy, several techniques can be used to retrieve the large numbers of sperm that remain inside the testes. The first three involve aspirating sperm using needles or tubes placed through the skin of the testis and are carried out under local anaesthetic. The fourth requires open surgical sperm retrieval and is usually carried out under general anaesthetic.
Some small studies have been done to compare success rates after the different types of surgical sperm retrieval. These concluded that MESA gives the highest number of sperm, with a hundred times more sperm being recovered compared to TESA and perc biopsy.
MESA also produced sperm that were better swimmers and therefore more useful for infertility treatments, including IVF and ICSI.
Surgical sperm retrieval techniques when there is no obstruction
Men who have no sperm in their semen, despite having clear tubes in their testicles, usually have a problem with the process of sperm production. It is unlikely that sperm are present in large numbers, so the surgical sperm retrieval techniques required are more invasive
TESE: Testicular sperm extraction. This involves opening up the scrotum and taking a large volume of testicular tissue, perhaps from several regions of the testicle. Sperm are then retrieved using a microscope to identify individual sperm.
Microdissection TESE: A similar technique but a microdissecting microscope is used to pinpoint the tissue to be removed. This aims to cause less damage to the structure inside the testicle, and to therefore have fewer after effects such as blood supply problems caused by tiny blood vessels being cut. It also appears to increase the number of sperm that can be retrieved.
I am 38 virgin until wedding. I think I have no STD, I married on 22-05-2015 divorced women of 32 I don't know she is infected from 1st husband one like STDs I think 1) herpes HSV-2 I infected 2) she has small 1-2mm size pimples like puss pimples in her pubic area If you give your mail ID I will send you photos of infection I have small doubt Is there any laboratory test for HSV-2 and HPV.
I am 20 years old I have problem of over heat and over sweating due to of over dose of medicine used on me due pids or Sun stroke caused I was a 3 months baby at that time, I Expect suitable answers?
My friend is suffering from critical headache. Everytime his head is like a pain house. His front side of head is sometime paining like hell. Can.t even sleep properly. Pls suggest any medicine.
I sweat a lot when I workout briefly or when in the sun unlike normal people who sweat quite less. What may be the cause of my severe sweating or what you call that as. And what is its effects on my body is it good or bad? Please tell me I am worrying about it. Thank you in advance.
I am 16 years old. Very often I suffer from acidity (heartburn). Please give me a solution which does not disturb my routine.
SEXUALITY ISSUES WITH DIABETIC MEN
The most widely reported problem men face is erectile dysfunction. In fact, in some cases diabetes is diagnosed when the man seeks treatment for erection dysfunction—erectile dysfunction is a presenting symptom of diabetes, particularly for those under 45 years of age.
Failure to achieve or maintain an erection until ejaculation can be caused from nerve, muscle, or vascular damage. It is estimated that between 20 and 75% of men will have a problem with erectile dysfunction. . Changes in testosterone level can also affect erection, as can sexual side effects of medication. Co-morbid conditions that often accompany diabetes also contribute to erectile dysfunction. For example:
high blood pressure
emotional and psychological issues such as depression, low self esteem, and anxiety
too little exercise
Retrograde ejaculation is also a possible sexual problem men may experience as a complication of type 2 diabetes. Retrograde ejaculation, which is when all or part of the semen is ejaculated back into the bladder instead of out of the penis, is caused when there is a problem with internal sphincter muscles. Sphincter muscles are responsible for opening and closing passages in the body. Abnormally high glucose levels can result in nerve damage to the sphincter muscles and the result is retrograde ejaculation.