EP284: Arrested development of sperm maturation | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, is sought by a reader who asks him about the problems of not able to conceive a child and ART, MESA and PESA.  Read more at https://tinyurl.com/b9f3hbxd  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00Hello there, how time flies. We're coming to the end of July and we're also coming to the end on

00:06how to improve or reverse your problem with male infertility. Today we're going to talk about

00:13something called azuspermia. Azuspermia just means that you're ejaculating normally,

00:19but it's not quite normal because there's no sperms.

00:22So azuspermia predominantly is due to obstruction. However, obviously if somebody has got

00:35non-obstructive azuspermia, i.e. there is no spermatogenesis, then it is a lost call

00:43because it's difficult to retrieve the actual sperm itself. Obstructive azuspermia technically

00:49is either congenital or acquired. Acquired one is, for example, vasectomy is one of them.

00:57The other one is infection such as chlamydia and gonorrhea resulting in obstruction. Since the

01:05scarring of the vas is quite extensive, reconnection is impossible. And on the other hand, a condition

01:13such as congenital bilateral aplasia or vas deferens, the actual disconnection is also quite variable,

01:22and reconnection is also impossible. So under that circumstance, how do you overcome such obstacle?

01:32The answer is very easy. We use the helping hands of science through ART or ART. ART stands for

01:43artificial reproductive technology. In simple terms, it's called test tube babies. In order to make

01:50test tube babies, obviously you need the eggs and the sperm. If the sperm is not coming out, you need to go and

01:56find them. There are three ways to find them. One is called PESA. It's percutaneous epididymal sperm

02:07aspiration. And through that, we will find whether there's a healthy sperm and actually put into the eggs

02:15to fertilize it. This is not always possible because sometimes the sperms are very difficult to extract

02:23through the skin. So the next thing we do is open up the scrotum and do microscope MESA. MESA

02:33stands for microscopic epididymal sperm aspiration. And through that, we'll find plenty of sperms along

02:41the maturation site of epididymis. But again, it might not be possible and we opt for the final one,

02:48which is TESE. T-E-S-E stands for testicular exploration sperm extraction. By opening up the

02:58testicle, all the manufacturing areas from there tease out every single one. Hopefully, we find one

03:04good sperm, create that test tube baby and hence overcome the obstructions and overcome the problem of

03:13infertility. For the next month of August, we're going to talk about aging process. I'm sure a lot of you

03:21like me past the age of 50 are contemplating what are the problems of aging. The first thing we're going

03:28to talk about is what exactly happens to your sperm counts when you're aging. So stay tuned for next

03:34week's putting Dr G on the spot.

EP284: Arrested development of sperm maturation | PUTTING DR G ON THE SPOT

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