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There has been considerable advances in the management of male infertility. As many as 40% of couples who attend treatment have a male factor problem to some extent or another. When a sample is to be
given it is best to abstain from sex for 3-5 days, any longer may degrade the sperm as they
may not be fresh at the time of the test.

Sperm Analysis

• Volume - The amount of semen ejaculated. Average between 0.5  to 10ml (a teaspoon)
• Count    - The number of sperm. Normal is 20  to 150 million per ml
• Motility   - How many are moving. Normal is 50% to 80%
• Progression - How vigorously they move. Normal is a vigour rating of 2 (out of 3)
• Abnormals    - How many are abnormal. Normal is between 25% and 40%
• Liquefaction  - How well the ejaculate liquifies. Normal is a thin liquid consistency in
                            30 minutes


Sperm attacks by Antibodies

Immunology problems can sometimes cause fertility problems. Antibodies in the male can cause
the sperm to stick together and clumping. In females, antibodies can attack the sperm as soon as
they are deposited in the vagina. A cure could be taking steroids or antibiotics and by careful
seperation of the sperm from the antibodies in the semen.
Another way around this problem would be to bypass the vagina altogether and have the sperm
injected deep into the uterus by IUI.

Below are two of the most common sperm dysfunctions.

Azoospermia

In which there are no sperm cells identifiable in the semen sample. May be as a result of mumps
in childhood, infections in the genital tract, blockage of the vas deferans or vasectomy.
A high FSH hormone could also produce testicular failure.

Sperm Dysfunction

Where the sperm is not functioning properly. Where sperm, normal or abnormal could fertilize an egg. It is the total number of motile normal sperm which matters, sometimes simple things like smoking, alcohol, stress, driving etc. can have an affect on sperm quality.

Many terms are used to describe sperm dysfunction:

• Olig Ozoospermia (Oligospermia) - Low numbers of sperm
• Asthenozoospermia (Asthenospermia) - Poor Motility
• Tetratozoospermia (Teratospermia) - Abnormal Forms

All three terms can be combined in some assessments and often expressed as OATSs for short.

For those with no sperm there are surgical methods of extractions. Both are carried out as a day case usually under general anaesthetic.

PESE (Percutaneous Epididymal Sperm Aspiration)

In cases of blocked vas deferens, the trapped sperm is extracted by a fine needle inserted into the coiled tubing outside the testicles.

TESE (Testicular Sperm Extraction)

A small incision is made in the scrotum and sperm is extracted from the testis.


Premature Ejaculation

•Practice Makes Perfect - Have sex more often, you'll be more likely to ejaculate prematurely if there is a long gap between sessions.
•Stop Start Approach - Stimulate the penis to the point of ejaculation then stopping then repeat until you learn to control your ejaculations.
•Pelvic Muscle Strengthening - Contract your buttocks for one second, do this 15 times in a row working up to 60 to 75 contractions twice a day. Some men last longer when squeezing the muscles and others when relaxing them.
•Exercise Later - It is unwise to exercise just before sex. Save your exercises for another time.
•Reverse Position - Men are more easily aroused when they are on top in the missionary position so it might be better for her to be on top.
•Diet for Better Sex - Inadequate blood supply to the penis through clogging with fat and cholesterol makes maintaining an erection difficult. Your brain tells you to ejaculate sooner before you lose erection. Live a healthy lifestyle.

 

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Ramkhamhaeng (pronounced ram-cam-hang)  Hospital sits at the center of one of Thailand’s largest and most respected hospital groups. With 350 beds and seven sister hospitals Ramkhamhaeng has the resources, experience and expertise to provide international quality health care at very competitive prices. This combined with a long tradition of Thai hospitality has earned Ramkhamhaeng Hospital the confidence of the people of Thailand, the Region, and the World.

Thailand has gained renown for all forms of Fertility Treatments, cosmetic surgery, cardiac care, and other types of specialized medicine.  Ramkhamhaeng Hospital has many internationally trained doctors with world-class credentials.  In this era of jet travel, computers, and the Internet, Globalized medicine has arrived. We offer world class healthcare in a beautiful tropical setting at a fraction of the cost of the USA or Europe.  If you pay your own medical bills because it is an elective surgery or you are uninsured and don't have or can't get insurance Contact Us.

We have the latest medical equipment, such as
Cardiac Cath, MRI (Magnetic Resonance Imaging), Spiral CT Scan (Spiral Computerized Tomography Scan) and Ultrasound to support our medical staff in the fast and accurate diagnosis and treatment of disease.

The hospital also has a long history of providing quality specialty clinics like Plastic Surgery, Cardiac Rehabilitation, In Vitro Fertilization + Embryo Transfer, and The Test Tube Baby Clinic.

The hospital specializes in personalized services for all our international visitors.  We will meet you at the airport and escort you to the hospital, walk you through the hospital stay and then escort you back to the airport for your departure.

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