By Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)
Infertility is an issue for the couple and overview of the couple is ideal in a medical institution the place either women and men should be obvious jointly. The contribution to care via the urologist and the gynaecologist every one with an curiosity in infertility is assorted yet complementary. My appreciation of this used to be sharpened among 1976 and 1985 in the course of my organization with the realm healthiness Organization's Spe cial Programme of analysis improvement and study education in Human replica on the conferences of the steerage Committee of its activity strength on Infertility. The deliberations of this workforce have been geared toward constructing a protocol for research of the infertile couple and it turned obvious to me as a gynaecologist how very important is the best characterization of the male partner's position to the formula of the administration plan for the infertile couple. to enhance the standard of our evaluate of the male associate our techni cal employees have been informed within the semen method of the laboratory of Dr F Com haire of Ghent and we have been joined by way of Dr CLR Barratt, male reproductive biologist. It appeared acceptable to proportion our enthusiasm for medical andrology, so after dialogue with Dr Comhaire and Professor T Glover, an eminent male reproductive biologist, then of Brisbane, who deliberate a sabbatical to his local was once prepared for 1 and a couple of may well 1986. Professor Glover en Yorkshire, a gathering of the meeting.
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However, as I said in my paper, it is more obvious that some defects will prevent a sperm from entering an egg, whilst 28 SEMEN ANALYSIS others, it might be presumed, will permit penetration of an egg, but result in failure of normal development of the zygote. Question: If there is no history of genital infection and no evidence of polymor- phonuclear leucocytes, is there any necessity for a culture to be performed on the semen sample? Glover: The simple answer, to my mind, is 'No'. We are by no means convinced of the validity of performing routine cultures on semen samples.
Of particular value is the relationship of semen volume to sperm count and since both are strikingly influenced by ejaculation frequency, a suitable fixed period of sexual abstinence is essential, before a semen sample is examined (WHO Report, 1980). CONCLUSIONS An analogy has been drawn between the assessment of a semen sample and an identikit picture (Glover, 1984) and it is also similar to a jigsaw puzzle. In all three cases, it is difficult to comprehend the whole picture from the observation of a single piece.
I. c/in. , 56, 1555-63 26 SEMEN ANALYSIS Scharfetter, F. (1982). Neurology of male fertility disorders. In Bandhauer, K. and Frick, J. ) Disturbances in Male Fertility. c. and Benraad, TbJ. (1983). Effects of single and multiple chorionic gonadotropin administration on Leydig cell function in man. In Recent Advances in Male Reproduction: 1 Molecular Basis and Clinical Implications (New York: Raven Press) Steinberger, E. (1971). Hormonal control of mammalian spermatogenesis. Physiol. , 51,1-22 Vermeulen, A, Vandeweghe, M.
Advances in Clinical Andrology by Anne M. Jequier (auth.), C. L. R. Barratt, Professor I. D. Cooke (eds.)