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Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
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I am suffering frm ear pain frm 1 week. It seems that some small wound/boil had emerged inside ear which pain on touch the ear. I am using ear drop otocin-o which is not much of relevant. Please suggest what to do. Is it serious that I should consult an ENT specialist or it will disappear by its own.
Hi, I have experienced something weird and want to know whether I should see a doc or not. I had pain in my left elbow from past few month and in my forearm from past three four days & yesterday I noticed a strange mark on my wrist as if a band is tied, its not very much visible but is swollen like bumpy stretch marks and is little bit reddish in color. Pls suggest what it could be.
I has stomach pain for some time, it is two hour a day so please recommend some medicine which is helpful.
My daughter is having sciatica problem for the past few months. Mother of two kids. Home maker. When she takes NervzB capsule she feels better. Neurobion is not effective. Please advise treatment.
I am married an 35 years girl and my age is 19 I used to masturbate from 15 years onwards so isn't my sperm is reduced I am asking this question because me and my wife used to sex for day 5 times but she not becoming pregnant and we went to doctor our reports are good what should we do now.
I having headache past three days. I try paracetamol but that's not effect my headache. Today I can't tolerate. What I can do?. What is the problem?
I have suffer from sunburn . My hand were becoming black due to sunburn. And continuously itching. Please tell me the way to protect my body from sunburn.
Hi, I have some trouble of solid pain some time in my head please say me what can I do for it give me any migration medicine.
He is suffering from fever and weakness from the last three days. Doctor prescribed him with paracetamol tablets and some other too. His condition is better now. But still he is having a little fever and weakness. Can it be a symptom of any disease? Or it will get better with time?
I am. Suffering from Heavy gastritis how to control this endoscopy result show s GERD WITH fungal gastritis and doctor gives some tablets but till not working that tablets so how to control this My feelings Like Heart buns ,back pain, constipation problem. Pls give me best suggestion.
Medical History- Abused codeine- 400 mg, alcohol, Marijuana, nicotine in combination for around 4 years, sought psychiatric help but to no avail, now on alprazolam- 4 mg a day for around 2 months, it helped a lot for fighting with above mentioned drugs, now completely off of codeine and seeming no problems with other mentioned drugs but want to get off alprazolam as well as the anxiety. Is abrupt cessation of alprazolam safe, becoz i don't have an urge to take them, i stopped taking it for around 4 days but experienced some withdrawal symptoms so i started with a 2 mg a day in 2 divided doses and withdrawals are completely gone, mentally ready to rely on innocent activities like yoga, pranayams, exercises. Is a gradual decrease of .5 mg every 7 days would do the trick for me or shal i stop it immediately and suffer withdrawals that i think would be short lasting, but the confusion is that immediate cessation would lead to the return of other habits becoz of that anxiety... Pls help.
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.