ALARM: Such "sperm test" characteristics, as "Sperm motility" could be cured, and put into normal reference ranges, like here, please find a concrete examples in my Instagram profile folder:
https://www.instagram.com/s/aGlnaGxpZ2h0OjE4MDA5MTUyNDM3MDU0NzQ5?igshid=MzRlODBiNWFlZA==

#spermtest
#astenozoospermia
#oatsyndrome
#teratozoospermia
#cryprozoospermia
#astenoteratozoospermia
#viscosipathy
#leucospermia
#oligozoospermia
#oligospermia
#urologist #urologistonline
#andrologist
#reproductiveurologist
#drruzaev

☝️☝️☝️ НАЧАЛО ИСТОРИИ.
Please find 🇬🇧 below 👇
Непросто принимать на второе мнение, когда до тебя коллеги назначили лечение, которое привело к угнетению функции яичек и криптозооспермии - когда сперматозоидов нет совсем, они обнаруживаются буквально "по штучно" в микроскопии осадка центрифугата. После обычной микроскопии клеток нет совсем, и эякулят помещается в центрифугу, "откручивают" 15 минут и проводят микроскопию "осадка". В нем сперматозоиды обнаружены единично - смотрим заключение спермограммы за июнь 2024-го.
Непростая задача заключалась в возможности восстановить сперматогенез, причем без участия гормональных препаратов (ими уже нанесли колоссальный вред до моего приема, предыдущим врачом).
Результат - через несколько месяцев и определенной тактики ведения мы добились "олигоастенотератозооспермии", то есть появились свои сперматозоиды, несколько сотен тысяч, в том числе активно- подвижные (22%) и даже 1% морфологически нормальных. Искренне рад нашему совместному результату, лечение продолжается, держу вас в курсе!
Ваш андролог, уролог, реабилитолог, кандидат медицинских наук Рузаев Михаил Леонидович.
🇬🇧Been working as a second opinion consultat for gonadotropin treatment, which caused Cryptozoospermia - just a few sperm cells in centrifuged sediment microscopy test. After appropriate evaluation and specific treatment tactics without any kind of injections, or prescription any kind of hormones we have at least several hundred thousands of sperm cells with active motility and 1% with normal morphology. Treatment will be continued, let me inform you in time.
Please do not hesitate to contact me directly via what's app number with any kind of queries.
+79175098888
Mikhail Ruzaev, MD PhD, reproductive Urologist, Andrologist.
#докторрузаев #андрологрузаев #урологрузаев #результаты #спермограмма #азооспермия #криптозооспермия #оатсиндром #олигоастенотератозооспермия #urologo #andrologo #espermogramma #infertilidad #infertilidadmasculina #infertilidadfeminina #urologist #andrologist #reproductologist #spermtest #oatsyndrome #oligoasthenoteratozoospermia
#рузаев_лечениеазоо
#рузаев_лечениекриптозоо

AZOOSPERMIA.

We typically don't perform a biopsy because the semen analysis showed us "azoospermia".
An additional evaluation is necessary before the biopsy. This examination also provides information about whether sperm of suitable quality will be detected. Simply detecting sperm is not enough; cells of appropriate quality are required.

PERFORMING ANY TYPE OF BIOPSIES just on a "azoospermia", even several sperm test results means that your doctor don't know what to do, or even scamming you.


#azoospermia #azoo #cryptozoospermia #oligozoospermia #oatsyndrome #drruzaev #andrologistruzaev

Мы не делаем биопсию, потому что в спермограмме отсутствуют сперматозоиды.
необходимо проведение доп обследования перед биопсией. Так же такое обследование дает информацию о том, будут ли обнаружены сперматозоиды подходящего качества, или нет. ведь просто обнаружение сперматозоидов недостаточно, нужны клетки соответствующего качества.
Вам назначили биопсию при "азооспермии" - это просто обман/маркетинг. #азооспермия

Pastuszak says early testing shows the lab-made sperm look “effectively identical” to naturally made sperm. The procedure is not yet ready to be used to start pregnancies, though. Paterna created embryos as an early test to validate that its lab-made sperm was actually viable. The company plans to conduct a larger, more comprehensive study involving men with infertility. Paterna will extract sperm from their ejaculate or testicular tissue and use its method to generate sperm for the men. From there, the company will use both the extracted sperm and lab-made sperm to fertilize eggs in the lab, compare fertilization rates between the two groups, and analyze the resulting embryos for physical and genetic abnormalities.
“That will actually tell us a ton regarding the efficacy and safety of the approach. It will tell us if there are any mutations that are created by the in vitro process,” Pastuszak says. After that, trials of lab-made sperm to start pregnancies could begin as soon as next year.
 
Certain types of medication, intrauterine insemination, and conventional in vitro fertilization, or IVF, can help men with reduced sperm quantity or quality. But for men who make no sperm at all, treatment options are more limited.
“In terms of male infertility, the most challenging scenarios for clinicians are where men don’t have any sperm,” says Ryan Flannigan, a surgeon who specializes in sperm retrieval at the Vancouver Prostate Centre in Canada, who is not part of Paterna. “You see the emotional toll and the impact on these individuals and couples.”
For these men, a surgical procedure that looks for sperm in testicular tissue is an option. It requires general anesthesia and can take as long as four hours, depending on how quickly sperm are found. Even then, surgeons fail to find sperm in a significant percentage of cases.
Paterna's technology is designed to replace that process, instead taking a small biopsy of testicular tissue in a doctor’s office. That tissue would be sent to Paterna, which would perform in vitro spermatogenesis. The company plans to charge somewhere between $5,000 and $12,000 for the procedure.
Flannigan says Paterna’s technique could also be used for boys who undergo chemotherapy for cancer treatment before puberty, since sperm-forming stem cells are present from birth. Young cancer patients have had the option of freezing and preserving testicular tissue for years, but transplanting it back remains experimental, and no births have been reported.
Other efforts to produce sperm in the lab are focusing on induced pluripotent stems, skin or blood cells that have been reprogrammed to an embryonic-like state. These stem cells can be coaxed into any type of cell in the body using the right set of instructions. Scientists have successfully produced functional sperm and eggs from mouse pluripotent stem cells and created healthy offspring. The technique, known as in vitro gametogenesis, could be used to help same-sex couples have biological children, since an egg or sperm could hypothetically be created from a skin sample.
Justin Dubin, a urologist and director of men’s sexual health at Baptist Health Miami Cancer Institute, says Paterna’s advance is exciting but cost will be a limiting factor for many patients in the US and other places where fertility treatments are prohibitively expensive.
“We’re coming up with so many amazing options in fertility care, and yet so many of them are not covered by insurance,” he says.
“It’s a huge disservice to our patients, to the world’s population, by not providing people with the means to achieve the family that they want.”
#azoospermia #azoospermy #cryptozoospermy #oligozoospermy #oatsyndrome #maleinfertility #infertilitytreatment #andrologist #drruzaev #reproductiveurologist
 
 

☝️☝️☝️ начало.
Итак:

1.
Неизвестен % спермиев с поврежденной ДНК, это не увидят ни одним из
существующих способов селекции сперматозоидов.

2. Идти в
ВРТ с такими результатами - заранее обрекать пару на репродуктивные потери,
мужчина не подготовлен.

Что делать -
консультация врача андролога и подготовка мужчины - из
"криптозооспермии" и "олигозооспермии" => максимально в "нормозооспермию" тогда и эмбриологу будет
гораздо проще выбрать, и методы селекции сыграют роль, а не как на фото в
настоящий момент. Да, андрология - это не "методы отбора
сперматозоидов" , андрология - это лечение мужчин, их максимальная
подготовка для того чтобы избежать репродуктивных потерь.

 

Методы
селекции" - это эмбриология, не путайте специальности. Андрология - это
прежде всего клиническая специальность, в которой 57,1% занимает лечение
мужского фактора бесплодия и 33% проблем с потенией.

 

In such
scenario, simply using sperm selection methods is insufficient. Here is why:

1. The
percentage of sperm with DNA damage is unknown; none of the existing sperm
selection techniques can detect this.

2.
Proceeding with assisted reproductive technology (ART) given these results
effectively dooms the couple to reproductive loss from the start, as the male
partner is not adequately prepared.

The solution
is a consultation with an andrologist and preparation of the male
partner—moving from "cryptozoospermia" to
"oligozoospermia". This makes the embryologist's task much easier and
allows sperm selection methods to be effective, unlike the current situation
shown in photo.

 

 Indeed, andrology is not merely about
"sperm selection methods"; it is about treating men and optimizing
their condition to prevent reproductive loss.

 

"Selection
methods" belong to the field of embryology—do not confuse the specialties.
Andrology is primarily a clinical specialty, with 57.1% of its practice
dedicated to treating the male factor infertility and 33% to address erection
issues.

 

#cryptozoospermia
#oligozoospermia #oatsyndrome

#oligoasthenozoospermia
#spermtest #pathospermia #andrologist #embriologist #reproductologist
#андролог #эмбриолог #селекциясперматозоидов #клиникаэко #спермограмма #олигозооспермия #оатсиндром #андрологрузаев #азооспермия #криптозооспермия