One of the reasons why a couple cannot conceive a child is the factor of male infertility. If the spermogram shows that the number of spermatozoa is very low for fertilization or they are of poor quality, this is not a reason to be upset. It is possible to conceive a healthy child thanks to modern reproductive technologies, for example, ICSI with the participation of frozen single spermatozoa.
The method is as follows:
- A man donates sperm. If this is not possible, the biomaterial is surgically removed.
- The ejaculate is frozen. In cryptozoospermia, severe male infertility, embryologists process the biomaterial by centrifuging it and searching for spermatozoa in the sediment. If it is possible to find spermatozoa of good quality, they are frozen using a special technology for cryopreservation of single spermatozoa.
- The partner is prescribed hormonal stimulation. On the day determined by the doctor, an ovarian puncture is performed (extraction of follicular fluid with eggs). In the laboratory, the resulting eggs are fertilized with thawed spermatozoa and placed in a special environment for development.
- Fertilization is also possible with fresh sperm, however, in the case of cryptozoospermia, it is advisable to stock up on frozen sperm so that there are exactly enough spermatozoa for all the eggs obtained.
- High-quality embryos are transferred to the uterine cavity for further implantation. At the couple's request, some of the embryos can also be frozen.
Many patients fear that after cryopreservation, the material loses its properties. If the conditions of freezing and storage are met, then there is nothing to worry about. In the EMC cryobank, germ cells are frozen using modern proven technologies and stored in stable optimal conditions at a temperature of -196 C.
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Questions and answers
Is there a better sleep aide i can get other than what I have been using over the counter
Is there a better sleep aide i can get other than what I have been using over the counter. I know getting Ambian is a big hassle but is here something in between? I've been using Ambian for about 10 years almost daily, if it matters.
Ambian is a one the brand names of Zolpidem. It's available in Russia. You can schedule appointment with neurologist (Dr. Maslak, for example) and doctor will do prescription for you ( for Zolpidem or maybe another sleeping pill).
Rhinoplasty after 40
I would like to do a rhinoplasty, but it is said in some sources that “rhino” is not indicated after 40.
Good afternoon, Lydia. Rhinoplasty is allowable in your age. Dr. Levine, for example, performs rejuvenation in conjunction with rhinoplasty. The human nose grows throughout life. It becomes longer and more unattractive in adulthood. The rhinoplasty in conjunction with a facelift helps to achieve more pronounced
results of rejuvenation.
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Levin Sergey
08 September 2016
What to do first
What should I do first: Laser Fraxel and then the fillers, or Vice versa?
Good afternoon, Larisa. It is usually recommended to start with laser rejuvenation techniques, and then "polish" the result with hyaluronic acid injections. We invite you for a consultation. You can make an appointment by tel.: + 7 (495) 933 -66-54
Karapetyan Marianna
08 September 2016
Malignant kidney tumor
CT scan revealed a malignant kidney tumor in my brother. The tumor size is 3x7, which corresponds to stage 2. Tell me, please, how long does it take for such a tumor to be developed? And is it possible to remove the tumor surgically (total kidney removal)?
For a more precise answer we need to assess patient’s CT scans ourselves. At the EMC’s Urology clinic, both total and partial kidney removal with tumor is performed using the da Vinci robot. These surgeries are very gentle with fast postoperative recovery.
Prostate cancer
I am 74 years old. Prostate cancer was diagnosed. Total PSA was 25.8 ng/ml. Outpatient check-up was carried out. Are "Zoladex" injections enough? Biopsy revealed moderately poorly-differentiated small-acinar prostate adenocarcinoma. Where to start?
You should start with an extended examination, namely: skeleton scintigraphy, pelvic MRI, oncological examination. If the results of these tests will be the normal: surgery or radiotherapy may be offered (both with/without “Zoladex” therapy). If the results are abnormal: radiation therapy with/without “Zoladex”
therapy or “Zoladex” therapy may be offered.
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