How to treat, manage low sperm count punchng.com

The words, ‘low sperm count’ and ‘no sperm’, are very frightening terms for many men and couples alike, especially when there is a history of infertility. But what do they mean?
Oligozoospermia or ‘low sperm count’ refers to semen with low concentration of sperm cells. It is commonly associated with male infertility.
Based on a recent World Health Organisation criteria, an ejaculate with a concentration of less than 15 million sperm/ml of semen is termed oilgozoospermia.
There are also different classes of oligozoospermia (mild to severe). Mild refers to a concentration of 10 million to 15million sperm/ml while moderate is between five million and 10 million sperm/ml and severe is 15 million sperm/ml.
Azoospermia (no sperm) refers to complete absence of sperm in an ejaculate. It is a well-known cause of male-factor infertility.
Cryptozoospermia applies to a situation in which sperm cannot be seen in a fresh semen sample but later found after an extensive centrifugation and microscopic search.
In our society, the burden is placed more on the female partner when it comes to conception. When a couple can’t conceive after a year, the society automatically blames the woman. This assumption is often false. As a matter of fact, male infertility accounts for about 40 per cent of infertile couples. About seven per cent of men are said to be infertile. But a lot of men with fertility problems are reluctant to come for further testing and treatment.
The good news is that a diagnosis of oligozoospermia or azoospermia is not the ‘end of the road’. These conditions can be treated and a lot of men have benefitted from various treatment options. Furthermore, it has been observed that the success rate for the treatment of infertility is higher when both spouses face the issue and attend the clinic together like in the developed countries.
But before listing the treatment options it would be important to discuss preventive measures which would include lifestyle adjustments such as not smoking, avoidance of recreational drugs and environmental toxins, cutting down alcohol and caffeine intake.
It is important men avoid exposing their testicles to high temperatures such as hot tubs, long-distance driving and tight underpants and seeking prompt and regular medical care as a number of medical conditions are associated with infertility such as mumps, tuberculosis, sexually transmitted diseases, like gonorrhoea and syphilis.
Management
A detailed history and physical examination is done by a clinician to check for possible causes like varicocoele, testicular atrophy, undescended testis and other abnormalities. A seminal fluid analysis is done to properly assess the sperm parameters. Usually, patients are advised to abstain from intercourse for between two and seven days before doing this test for optimal results. Further testing, including hormone profile and scrotal ultrasound may be done, especially to check for other underlying causes.
In our centre we also recommend bioenergetic testing to determine food allergies, environmental toxins or the presences of pathogens.
Medical treatment
Depending on the underlying cause, patients can benefit from various drugs. The following are commonly used:
Gonadotrophins: Gonadotrophins, especially human chorionic gonadotrophin, have been used successfully in treating some patients with azoospermia, especially those with underlying hormonal imbalance.
Anti-estrogens: Drugs like clomiphene citrate and tamoxifen have also been used in patients with oligospermia/azoospermia. These drugs have been used in patients with idiopathic oligozoospermia, as well as patients with low levels of the male hormone – testosterone.
Dietary supplements and anti-oxidants: The use of antioxidant therapy in treatment of patients with male infertility has been associated with statistically significant improvements in sperm parameters. This is because many of these anti-oxidants are required at different stages of sperm production. Co-enzyme Q10, for example, has been shown to significantly improve sperm concentration, motility and strict morphology in patients undergoing treatment.
Other drugs used include aromatase inhibitors like Anastrazole and cyclic steroids (for immunosuppresion). It is important to note that these drugs can be combined to get better results. It is the duty of the clinician to identify the underlying causes and appropriate medication to use.
What we find most successful is to use all these medication in a sequence but not together. For instance, many people use a testosterone medication like proviron on a daily basis for several months. Unfortunately in men, the physiological levels of testosterone is not constant; hence, the need to prescribe them in a pulsatile fashion for good results.
Lifestyle modification: Patients should be encouraged to stop smoking cigarettes and other psychoactive substances. Stress relief and weight loss, dietary modification, avoidance of toxins have all been shown to be beneficial in treating male infertility.
Body detox: A lot of people are exposed to toxins from the environment, preservatives in food, drugs, cosmetics and stress. These toxins may accumulate in vital organs, leading to organ damage and infertility. Total body medical detoxification in a medical spa helps to remove these toxins, thereby improving fertility
Assisted Reproductive Technology
These refer to the use of advanced techniques to achieve conception. The following are commonly used:
Artificial Insemination and Fallopian Tube Sperm Perfusion: Patients with mild and even moderate oligozoospermia can benefit from this non-invasive treatment. It involves direct intrauterine injection of ‘sperm suspension’ usually after adequate sperm processing (washing). The aim is to achieve higher concentrations of sperm in the ‘fallopian tubes’ to facilitate conception.
Pregnancy rates are about 20 per cent per trial and multiple births are common when combined with superovulation.
Intra-cytoplasmic Sperm Injection
This is used for patients with severe oligozoospermia. It involves direct injection of sperm into the oocyte (eggs). For this to be done, the oocytes have to be retrieved from the female partner while semen is collected from the male and processed. This method has been extremely beneficial for patients with very low sperm concentrations. Globally, pregnancy rates are around 35 per cent to 45 per cent and can go up to 60 per cent with multiple trials.
Advanced sperm retrieval techniques
A number of procedures can be used to collect sperm in patients with azoospermia using local anaesthesia. Many patients with absence of sperm in their ejaculate (semen), still have some sperm in their testis (organ where sperm is produced) and epididymis, which stores mature sperm. Certain procedures can be used to collect this sperm directly from these organs with the help of special needles.
We have reported a number of pregnancies and babies have been born through these techniques.
In summary, there are various treatments available for oligozoospermia and azoospermia. The type and extent of treatment can only be determined after proper evaluation and testing by a skilled fertility physician using appropriate techniques and procedures.

Wednesday, August 24, 2016

John Kerry's unadulterated Garbage & his new-found friends- by FFK

Read his piece below...

Mr. John Kerry, the American Secretary of State, President Barack Obama's confidante and Mrs. Hilary Clinton's successor in office, came to Nigeria the other day.

The first meeting that he had was with the Sultan of Sokoto, who is the supreme leader of the Fulani Caliphate, the spiritual leader of all the Muslims of the north and the man who said, only last week, that "Christians commit wicked acts and crimes against humanity" and that "the wearing of the hijab is the right of every Muslim".

The second was with the the 19 northern governors, 16 of whom are Muslims.

The third was our Muslim-fanatic and sharia-loving President who has refused to call his kinsmen, the Fulani herdsmen and militants, to order or to arrest and prosecute even one of them for mass murder and genocide.

On the very same day that all this was happening the Islamic Development Bank visited the President and opened their first office in Nigeria.

The government has also quietly put two separate pieces of legislation before the National Assembly for consideration which, if passed, would on the one hand legalise criminal sharia law and on the other give grazing land to the Fulani herdsmen in the Middle Belt and the south.

The Christians of Nigeria should make of all this what they will.

I wonder whether they still "love and trust" the "liberal" Hilary Clinton and Barack Obama?

I wonder if they still believe that Clinton and Obama love ALL Nigerians and not just those that they helped to get into power last year?

Think hard and think deep Christian before it is too late and you are overwhelmed.

Consider the religious war that took place in Lebanon years ago and that is taking place in Syria today.

No-one wants a war because war is the ultimate evil yet the bitter truth must be told.

And that bitter truth is as follows: if the radical salafist and wahhabist Muslim fundamentalists of the core north, with their powerful friends in Saudi Arabia, Bahrain, Qatar and Obama's America push us over the edge and such a war ever happens here, it will be 100 times worse than those two put together. Worse still it will go on from generation to generation.

Do those that wish to Islamise us and wipe out our faith think it would be worth all that?

Are they prepared to pay such a terrible price by trying? The truth is that they are playing with fire.

They are playing Russian roulette with a loaded gun and the single bullet that is in the barrel is about to go off in their faces.

The Bible says that knowledge is power. How many Nigerians know that Egypt and Turkey were once nations which were 100 per cent Christian until they were islamised through the back door?

It took hundreds of years but, slowly and surely and as a consequence of the total acquisition of political power by the Muslims in both of those countries coupled with the continous display of complacency, ignorance, weakness, indolence, fear and cowardice on the part of successive Church leaders and leading members of the Christian community, they were totally and completely islamised.

Today the Christians in both Egypt and Turkey constitute a pitiful and tiny minority: 10 per cent in Egypt and 0.4 per cent in Turkey.

I hope that the new leadership of the Christian Association of Nigeria (CAN), as they prepare for their first meeting in Maiduguri, Borno state on the 26th of August, are taking note of all this.

May God forbid that we should ever allow it to happen in Nigeria.

Yet one thing remains clear: the Christians of Nigeria are not like their counterparts that once constituted a majority in Turkey and Egypt. They are much more resilient and they are much stronger. They are also much more capable of defending themselves when pushed to the wall.

Despite consistently turning the other cheek and constantly striving to keep the peace, they are not ignorant, weak, cowardly, complacent, fearful or indolent.

When push comes to shove, unlike the Christians of Egypt and Turkey, they will not go down without a fight.

A word is enough for the wise.

As a graphic reflection of the anger that is slowly building up amongst Christians in the land, Mr. Kingsly Okah, a public commentator, wrote the following on Facebook. He wrote:

"John Kerry came for the Sultan of Sokoto's birthday and not a state visit. He came to perfect the western seed of discord foisted on us by the ouster of President Goodluck Jonathan. He came to lay credence to the American support of an Islamic agenda in Nigeria. He came to endorse genocide being commited by some reprobate Muslims whose foot soldiers are Fulani herdsnen and their grand patron Buhari".

To butress the point Mr. Aboki Galadima of the Christian Information Network, which is a powerful and fast-rising Christian platform on the social media, went further by writing the following to it's members. He wrote:

"This is such a significant event that minority nationalities and Christians all over the country MUST digest and act.

1. John Kerry has just confirmed that spiritually, Nigeria is now an lslamic State.
2. His inspiring attacks on corruption, bad governance and all that stuff are thrilling but only a facade. He and the government of the United States of America are here to divert attention from the real thing.

3.They are pushing the absurd narrative that we should blame past governments, who they claim did not tackle poverty etc., for the rise of lslamic terrorism in the north and that the Sokoto Caliphate has always been the region which provides Nigeria with decent human resources for good governance.

Haba!! Please somebody advise me to halt for now. These diversions should be rejected and resisted. The legality of using lslam to kill and destroy in Nigeria must be challenged. This Network should keep this fight alive and on the front banner of national discourse".

Both Mr. Okah and Mr. Galadima have spoken the minds of many in the Christian community. It would be most unwise for those that are now in power and their misguided friends and suporters to ignore them, attempt to silence them or to dismiss their concerns with the usual, insults, arrogance and contempt.

I say this because there can be little doubt that Mr. John Kerry spoke nothing but unadulterated garbage.

Permit me to end this contribution with the following.

Mr. Jude Chijoke Ndukwe, a writer, a public affairs analyst and one of the most courageous and formidable intellectuals of the new generation of Nigerian leaders captured the mood rather well when he wrote the following in a powerful contribution a few days ago. He wrote:

"A man named his dog 'Buhari', he was promptly arrested and prosecuted. 8 people are killed in Zamfara by Islamic fundamentalists, as usual no single arrest is made.
Unless leaders of the Hausa-Fulani core north change their ways and mentality about religion, education, girl-child and women's rights etc, their region will remain Nigeria's most impoverished, most illiterate, most diseased, most malnourished and most backward even if Barack Obama, Angela Merkel, Vladimir Putin, Theresa May, John Kerry, Donald Trump, Hilary Clinton et al visit the Sultan on a daily basis".

Mr. Ndukwe has spoken the gospel truth. Let he who has ears hear what the Spirit of the Lord is saying. Shalom.

By; Olumide Jenyo