EP210: Fruitless paternal dragon dreams | PUTTING DR G ON THE SPOT - video Dailymotion

The Star

Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, answers a query from a reader who wonders why he is firing blanks even though he and his wife have been married for two years.  Read more at https://shorturl.at/ijrO0  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00 In the month of February when many people are venturing into this endeavor of creating a dragon baby

00:08 So for some people who are misfortunate enough in order to have problems of no sperm count

00:15 This is a condition called Azoospermia

00:18 In fact there are two reasons why it happened

00:26 There's a quiet reason and there's a congenital reason

00:29 Let's deal with congenital reasons first

00:31 For example if you are unfortunately born with genetic conditions such as Klinefelter condition

00:38 Then the genetic material in your body will actually inhibit the spermatogenesis

00:45 So under that circumstance it's impossible to find the sperm at all

00:50 There's another genetic condition that actually will result in somebody producing sperm

00:55 But the sperm is not delivered to the outside world

00:59 And that's a condition called Congenital Bilateral

01:03 Because it's congenital in both sides

01:05 Aplasia of Vastifrans

01:08 So if you imagine that the tube that delivers the sperm from the testicle to the outside world

01:14 Is actually broken because of genetic condition

01:18 And that condition actually will not be visible or will not have any symptom at all for an individual

01:25 Until they are trying to have a baby

01:27 And it's noticed that they do not produce any sperms at all in the ejaculate

01:32 When we assess their hormone level which is the testosterone and FSH

01:39 We notice that these are all normal because the only thing that's abnormal is the delivery system

01:45 So under that circumstance there are ways for us to actually retrieve the sperm directly

01:51 In order to create test tube babies

01:54 So those are the congenital reasons why people have Azoospermia

01:58 However there are other reasons why people acquired Azoospermia

02:03 For example, infections

02:06 If you are unfortunate enough when you are a kid you have infection of Epididymal Orchitis

02:12 Or Mumps Orchitis and that infection itself destroy the Spermatogenesis

02:18 In addition to that other infections such as sexually transmitted infections

02:24 Like Gonorrhea or Chlamydia will block off the tube that produce sperms

02:29 So obviously it's quite different between the blocking of the tube and also the destruction of the sperms

02:36 If the destruction of sperm producing cells then you will not be able to retrieve any sperm for test tube baby

02:44 However if somebody has undergone vasectomy or somebody who actually had sperm duct obstruction

02:50 Due to sexually transmitted infection

02:52 Then there is a hope that we will do something called MISA

02:56 Microscopic Epidermal Sperm Aspiration or TC

03:01 Testicular Exploration Sperm Aspiration or Sperm Extraction

03:08 Then we will be able to get that sperm to create that dragon baby for you

03:13 If you had made the decision to have a vasectomy

03:16 So therefore you are sterile and not being able to produce natural sperm to create a dragon baby

03:24 But you change your mind and thinking about reversal of vasectomy

03:28 Or you are simply interested in a vasectomy and want to know the possibility of the reversal

03:33 Then you stay tuned for next week's Putting Dr. G on the Spot

03:38 www.ottobock.com

EP210: Fruitless paternal dragon dreams | PUTTING DR G ON THE SPOT

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