Microsurgical Testicular Sperm Extraction (Micro-TESE)

Microsurgical Testicular Sperm Extraction (Micro-TESE)Advances in reproductive medicine over the last 10 years have allowed men who were previously considered absolutely sterile to father biological children.Those advances have come on two fronts. The first was the advent of In-Vitro Fertilization (IVF) with Intra-Cytoplasmic Sperm Injection (ICSI).This technological breakthrough reduced the requirement of the number of […]

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What is pre-ejaculate or precum?

What is pre-ejaculate or precum؟ Pre-ejaculate, sometimes called precum, is a clear fluid that is released when a man becomes sexually aroused, but before he ejaculates. Sometimes, it can be seen at the tip of the penis, but many men don’t even notice it. The fluid is produced by a pair of pea-sized glands called […]

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Painful Orgasm

What causes painful orgasm in men, and how can it be treated? Painful orgasm (painful ejaculation) is commonly described as a pain or burning sensation that happens when a man ejaculates. He may feel pain between his anus and genitals or in his testes. He may also feel it in the urethra, the tube that […]

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Cancer and Male Fertility

Male cancer, cryopreservation, and fertilityWhat is the difference between semen and sperm?This can be confusing since the terms are often used interchangeably in the media and casua conversation.However, they are very different. Sperm are the male reproductive cells that contain genetic material.  A sperm is made up of three main parts: the head, the midpiece, […]

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Sperm Retrieval Procedures

Sperm Retrieval ProceduresSperm harvesting is entirely different from a diagnostic testicular biopsy since in this setting the goal is not to identify what is happening in the testis but instead it is to find sperm.  Only men with no sperm in their ejaculate (azoospermia) need to have sperm retrieved directly from the testis or epididymis.This […]

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Varicocele

VaricoceleWhat is a varicocele?A varicocele is a variation of normal anatomy in which veins in the scrotum (the sac that holds the testicles) become enlarged and sometimes even visible.Varicocele usually is first found at puberty and is much more common on the left side than on the right side. Sometimes it occurs on both sides.What […]

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Discolored semen

Discolored semenShould I be concerned about discolored semen?Semen is normally a whitish-gray color. It’s usually quite thick after ejaculation, but liquefies within 30 minutes.Changes in the appearance of semen might be temporary and not a health concern. However, sometimes these changes can be a sign of an underlying medical condition that requires further evaluation.If changes […]

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Smoking and Infertility

Smoking and InfertilityMost patients know not to smoke, don’t they? Maybe so, but that doesn’t mean that they (and their partners) don’t smoke, or that they tell the truth to their doc, or that they aren’t exposed to significant amounts of secondhand smoke.Does everyone remember the 2004 Surgeon General’s Report, The Health Consequences of Smoking? […]

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