The couple took their seats in front of me, removed their throats, looked at me in the eye, and said: “You are our last hope.” Always game to challenge childbearing, bending and quietly said: “How can I help?” In an attempt to imagine now for 4 years, they tried sexual intercourse, retreat inside the womb, and several courses of artificial insemination, all of which failed miserably. Not even a single positive pregnancy test. “We are really healthy in our late twenties, and you can set an hour on my tournaments, they are very regular,” she said almost in crying. I had to agree that the female worker was unlikely here.
Therefore, he turned to him, and he actually appeared as shown: suitable as an aspect. “I am a physiotherapist trying to be an example of a good health for my patients,” he said. “I know good health is important for good fertility, but I can’t understand a life for me to analyze the semen is very bad!” Review his reports over the past few years, nodded by the agreement. It was one of the numbers of semen analysis, sperm movement, low, and I mean really low, even near scratch sometimes. This was true in every sample I produced. On another review of semen analyzes, ejaculation sizes were steadily decreased over time and that should not be usually occurred. Recording this, I looked up and asked him one question: “Any pain with sex or ejaculation?” “Well, yes, Kinda … in the ball bag recently.” I looked at both and said, “I think I can help.”
Simple facts
I am a great fan of combating October, also known as “Persimony Law”. It is a well -known philosophical tool to search for the truth that is not possible or complex interpretations in favor of the simplest of these interpretations. In essence, the simplest interpretation is probably the correct interpretation.
I applied this principle to this situation and here things went. There are many causes of sperm movement that ranges from exposure to medicines, medicines and hot baths, to a mistake in collecting, refraining from the cabin, and varicose veins. But there are only some causes chosen for a truly low movement, such as genetic defects in the tail of sperm, or the use of toxic lubrication materials or material blockage of sperm flow. Likewise, there is a variety of causes of low ejaculation, but only a few reasons for reducing ejaculation sizes, such as low testosterone, advanced age, and sperm flow. Finally, there are many reasons for scrotum pain, but only a few causes of ejaculation, such as prostate inflammation, functional defect in the pelvic floor, and blockage of sperm flow inside the prostate. Review these three lists of potential diagnoses, only one of them is common with them all and explains its symptoms and results: Channel blockage ejaculation.
Clogged tubes
All this theory is fine, but we needed more evidence to cancel the diagnosis. Fortunately, ultrasound can do it. Like a dam that causes a low flow forward and a lot of backups behind it, with a blockage of the ejaculation channel, there is a lower front flow for the home and a backup copy of the fluid inside the seminal vesicles, making it larger. A mixture of large seminal vesicles, Cyst, calcification or right -wing stone where the channels are somewhat empty in the urine course Specific results For blockage.
In this case, we found a small mollerian bag but it is composed of critical in the prostate, spoiling the flow of ejaculation. Interestingly, this cyst is male residue of the female uterus, which has not completely declined during the growth of the fetus. Sitting in the path of semen flow, it can cause traffic congestion and lead to the suspension of sperm until it runs out of the gas and the entry of old ejaculation and death. It can also stimulate the pressure of the back in the system and radiate this feeling backward towards the testes, causing pain.
I suggested removing the cyst in the laparoscopic operating room (without cracks) in a relatively short procedure called Tured. He walked to swim and within several days, the size of ejaculation increased and sperm movement increased significantly. More importantly, they imagined the first opportunity that they were allowed after that. It cannot be an accurate result. Three chants to analyze the root cause and treat male infertility! The Polima Tomas Fuller said, “a painful, painful disease.”
