Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 31 years of experience on Lybrate.com. Find the best General Physicians online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Amber C.Shinde
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
Submit a review for Dr. Amber C.ShindeYour feedback matters!
Hello doctors am 30 years old man and have digestion problem. Mucus comes imy stool. This is problem for long time. I want to get ayurvedic median. please provide some ayurvedic medicine name.
Hello doctor, I am 24 male, whenever I intercourse with my partner it only take me just a minute or two to release the sperm. And my penis contracts back. I want to go for at least half an hour or more so that my partner should get satisfied. I request you to suggest the particular medicine will will keep my penis erected for longer time and suggest me also the medicine which can delay the release of sperm, so that I could spend more time with my partner during sex. Two things are necessary one erection amd second delay in release of sperm. Please give me detailed prescription of medicines which will boost me in these two particular things. Thanks. Kindly note that medicines should be effective else after taking medicine I will go in same way from which I was suffering. Please recommend good tablets.
I am a 25 year old male. I have 2 questions. 1st, I am having mild aches once in a while in my testicles. Pain is not severe but is causing discomfort. Please let me know the possible reasons. Solutions and severity of the problem. 2nd, I feel that my Penis's foreskin is little light. I want to get it checked .Whom should I contact for these issues.
My mom have a problem in teeth so we are go to the dentist and take medicine that recommend by dentist after taking a medicine mom was felt down on the earth and her body feels nothing and every time Dizziness. What we do ? We can't understand.
Can damage to the organs done because of type 1 dm reversible? like high creatinine, diabetic retinopathy, diabetic nephropathy etc?
My penis is long enough bt still I want it more big. So is there any food or drink which can increase its size by just a couple of inches? I have heard having apple juice increases penis size. Is it true? I am just 18 years old. So does penis size increases with age?
From 2014 and 2015 2 times I gone for urine culture test in that report its shows EcoLi bacteria is found and I used antibiotic medicines for that , is this bacteria will harm? And I suffering from gastric problem also from 2 years onwards, because of this bacteria only I am suffering with gastric?
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.