Fertility in men with spinal cord injury
| Autor: | Goran Vujić, Slavko Orešković, Miro Kasum, Franjo Grgić, Ermin Čehić, Velimir Šimunić |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Reproductive Techniques Assisted Endocrinology Diabetes and Metabolism Population 030232 urology & nephrology Electroejaculation Male infertility 03 medical and health sciences Semen quality 0302 clinical medicine Endocrinology medicine Humans education Spinal cord injury Infertility Male Spinal Cord Injuries Gynecology Prostate massage Pregnancy education.field_of_study 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology medicine.disease Sexual Dysfunction Physiological Erectile dysfunction business |
| Zdroj: | Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology. 32(12) |
| ISSN: | 1473-0766 |
| Popis: | Young men comprise the overwhelming majority of men with spinal cord injury (SCI), the incidence of which has been growing over the years. Due to advances in physical medicine and rehabilitation, remarkable improvements in survival rates have been reported, leading to life expectancies similar to those of the general population. However, many sexual and reproductive functions may be impaired due to erectile or ejaculatory dysfunction and semen abnormalities, characterised by low-sperm motility or viability in SCI males who have not become parents yet. Nevertheless, fatherhood is still possible through the introduction of specialised medical management, by using various medical, technical and surgical methods for sperm retrieval in combination with assisted reproductive techniques. Erectile dysfunction can be managed by the use of phosphodiesterase-5 inhibitors, intracavernosal injections, vacuum devices and penile prostheses. Semen can be obtained from the vast majority of anejaculatory men by medically assisted ejaculation through the use of penile vibratory stimulation or electroejaculation and via prostate massage or surgical procedures. Despite impaired sperm parameters, reasonable pregnancy rates similar to those in able-bodied subfertile cohorts have been reported. However, future research should focus on the optimisation of semen quality in these men and on improving natural ejaculation. |
| Databáze: | OpenAIRE |
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