Internationaler Tag des Mannes
❤️ Click here: Tag des mannes 2017
Es gehört aber auch dazu, herauszufinden, was einem gut tut, sein eigenes Leben zu inszenieren, zu organisieren. Der Weltmännertag ist übrigens nicht mit dem am 19.
Aus sumerischer Zeit sind einige wenige Tontafeln in sumerischer Keilschrift mit Fragmenten des Epos bekannt. Hinsichtlich der Vorbildfunktion des Mannes wird auch oft der Begriff der Männlichkeit verwendet. Inconsistent diagnostic criteria have been applied to date, and this may explain the controversial debate about the role of infection and inflammation in the genital tract as a cause of infertility.
Mann und Welt: Internationaler Tag des Mannes - Gimil-Ninurta sprach zu Bürgermeister von Nippur: 42. Setting: University hospital-based research center.
Bei schweren Fertilitätsstörungen ist die genetische Differentialdiagnostik indiziert. Therapeutisch werden präventive, medikamentöse oder operative Behandlungsverfahren je nach Befund eingesetzt, die ggf. Several preparation techniques exist that can be used to enrich the best motile and morphologically normal spermatozoa: 1 simple washing, 2 swim-up with tag des mannes 2017 without washing step and 3 density gradient centrifugation. Every technique has its advantages and disadvantages, and also, the final attribution of the sample e. Simple washing is optimal for high sperm numbers in normozoospermic patients. Epididymal aspirated samples can be prepared either by swim-up or by density gradient. Testicular sperm extraction samples have to be processed differently, as steps dissociating the tissue have to be executed first. Depending on the presence of an obstructive or a non-obstructive azoospermia, rather a mechanical or enzymatic preparation should be chosen. First, semen consists of different fractions: one fraction of spermatozoa from the testes and another fraction of seminal fluid from accessory glands such as the epididymides, seminal vesicles and prostate. Therefore, preparation of semen samples is necessary and of great importance. Additionally, possible negative effects may be caused by non-sperm cells from the seminal fluid. These cells naturally would never enter the female tract and have to be omitted by tag des mannes 2017 normally within one hour separation of spermatozoa from the seminal fluid. The separation will yield a fraction of highly motile and morphologically normal spermatozoa of good quality. Varicocele is defined as a palpable dilated, elongated, and tortuous pampiniform plexus of veins draining the testis. The prevalence of varicocele is high with about 20% of men and increased in patients with primary infertility to 35%. The evidence-based recommendations for management of varicocele are under constant modification. There is no consensus for management of infertile men presenting with varicocele. This can be explained by absence of clear diagnostic tag des mannes 2017 for varicocele that requires treatment, emerging of different varicocelectomy techniques with different outcomes, and the complex nature of couple infertility. This chapter aims to provide a concise review of epidemiology, pathophysiology, and diagnosis of varicocele. It focuses on fertility and endocrine disturbances associated with the condition, in addition to outlining the updated best practice in management of infertile varicocele patients with brief description of all management modalities. The role of varicocele repair in azoospermia, adolescents, and candidates for assisted reproductive techniques are also highlighted besides etiology and management of recurrent varicocele. Background: Infections of the genital tract are considered common causes of male fertility disorders, with a prevalence of 6-10%. Most of the affected men are asymptomatic. The diagnostic evaluation is based mainly on laboratory testing. Inconsistent diagnostic criteria have been applied to date, and this may explain the controversial debate about the role of infection and inflammation in the genital tract as a cause of infertility. The risk of an irreversible fertility disorder should not be underestimated. Methods: This review is based on pertinent publications retrieved by a selective literature search in PubMed, including guidelines from Germany and abroad and systematic review articles. Chronic prostatitis tag des mannes 2017 no more than a limited influence on ejaculate variables. By contrast, approximately 10% of men who have had acute epididymitis develop persistent azoospermia thereafter, and 30% have oligozoospermia. Obstruction of the excurrent ducts can ensue, as can post-infectious disturbances of spermatogenesis. The differential diagnostic evaluation includes the determination of testicular volumes, hormone concentrations, and ejaculate variables. Epidemiological data are lacking with regard to infertility after primary orchitis of infectious origin; however, up to 25% of testicular biopsies obtained from infertile men reveal focal inflammatory reactions. Multiple studies have suggested a deleterious effect of leukocytes and inflammatory mediators on sperm para - meters. On the other hand, the clinical significance of bacteriospermia remains unclear. Conclusion: Any suspicion of an infectious or inflammatory disease in the male genital tract should prompt a systematic diagnostic evaluation and appropriate treatment. For patients with obstructive azoospermia, the etiology and site of the obstruction determine the surgical approach to be taken. In the near future, the elucidation of underlying pathophysiological mechanisms and the identification of suitable biomarkers may enable new strategies for conservative treatment. Context: Undescended testes at birth may be caused by testosterone deficiency during fetal development. It is unclear whether the process of failed descent contributes to permanent endocrine impairment. Objectives: To evaluate the impact of age at treatment of undescended testes on endocrine and spermatogenic testicular function in middle-aged men. Patients and methods: Reproductive hormone and semen data of 357 men with previously undescended testes were evaluated with respect to age at correction of testicular position and compared to those of 709 controls with eutopic testes at birth and normozoospermia. Lowest mean sperm concentrations were found in subjects with bilateral undescended testes. Normal sperm concentrations were found in 21 % of cases in 27 % of men with unilateral and in 12 % with bilateral undescended testeswhile oligozoospermia was diagnosed in 44 %, and azoospermia in 35 % in 28 % with unilateral, 46 % with bilateral undescended testes. Subjects with reduced semen quality had higher gonadotropin levels than those with normozoospermia. Conclusion: Latent, rarely decompensated hypogonadism is a potential long-term consequence of undescended testes, besides infertility and testicular cancer, preferentially affecting subjects with delayed or unsuccessful correction of testicular position. Impaired Leydig cell function is likely to contribute to compromised fertility. These observations support correction of cryptorchidism during early infancy. Introduction: We performed a professional campaign in Germany intending to establish the urologic profession as a competent and helpful point of contact for patients with cryptorchidism. The aim of this study was to assess the feasibility of this campaign and to quantify the efficacy of using Internet vs. Materials and methods: The strategic design of the campaign comprised a strategy meeting, creation of a landing page, and targeted advertisements on Google in the form of Adwords and on Facebook in the form of sidebar ads and sponsored posts. Outcome measurements were number of impressions, homepage sessions, and downloads of an information brochure. Use of Google Adwords was tag des mannes 2017 efficient on outcome measurements than Facebook. A subanalysis of Facebook advertisements showed that sidebar ads and sponsored posts were equally efficient. Conclusions: New media are an effective platform for a profession campaign. Google Adwords is a more effective and cost-efficient platform than Facebook for a targeted campaign. Objective: To study the pathologic findings among men evaluated for infertility. Design: A retrospective, single-center, cross-sectional study. Setting: University hospital-based research center. Participant s : We included data from 1,213 medical records from infertile men referred for diagnostic work-up from 2005 to 2009. Result s : In total, 64. Two hundred four patients 16. Y-chromosome microdeletions were detected in 65 patients 5. Additionally, in idiopathic infertile men and infertile men with additional symptoms of testicular dysgenesis syndrome, 22. Conclusion s : We report pathologic findings that could explain the male-factor infertility in two-thirds of infertile men referred to our center. Thus, male infertility may be a sign of an underlying disease that warrants attention. Patients with Klinefelter's syndrome experience progressive testicular degeneration resulting in impaired endocrine function and azoospermia. What proportion of adolescents develop testosterone deficiency during puberty and how many have spermatozoa in their semen is unclear to date. We aimed to investigate testicular function during puberty and young adulthood in patients with Klinefelter's syndrome and to assess testosterone effects in target tissues. The clinical data of 281 patients with non-mosaic Klinefelter's syndrome aged 10-25 years without previous testosterone replacement were reviewed. Hypergonadotropic hypogonadism develops during early puberty in adolescents with Klinefelter's syndrome and remains compensated in over 60% during ages 15-25, with sufficient testosterone secretion for spontaneous accomplishment of pubertal development. Parameters reflecting androgen deficiency in target tissues may help to optimise tag des mannes 2017 of testosterone substitution, which should preferably not be initiated before fertility status has been clarified. Although the concept that a varicocele causes male tag des mannes 2017 has been around for more than 50 years now, the mechanisms by which a varicocele would affect fertility have not yet been satisfactorily explained. Neither is there sufficient evidence to explain the mechanisms by which varicocelectomy would restore fertility. Furthermore, it has been questioned whether a causal relation exists at all between the distension of the pampiniform plexus a network of many small veins found in the human male spermatic cord and impairment of fertility. In addition, we handsearched specialist journals in the field from their first issue until 2012. We also checked cross-references, references from review articles and contacted researchers in the field. If they reported pregnancy rates or live birth rates as an outcome measure, and if they reported data in treated surgical ligation or radiological embolization of the internal spermatic vein compared to untreated or placebo groups. Two tag des mannes 2017 independently screened potentially relevant trials. Any differences of opinion were resolved by consensus none occurred for this review. Data collection and analysis Ten studies met the inclusion criteria for the review. For one study we had only data from a published abstract. All ten studies only included men from couples with subfertility problems; one excluded men with sperm counts less than 5 million per mL and one excluded men with sperm counts less than 2 million per mL, with or without progressive motility of less than 10%. Two trials involving clinical varicoceles included some men with normal semen analysis. Three studies specifically addressed only men with subclinical varicoceles. Studies were excluded from meta-analysis if they made comparisons other than those specified above. In addition, we handsearched specialist journals in the field from their first issue until 2012. We also checked cross-references, references from review articles and contacted researchers in the field. If they reported pregnancy rates or live birth rates as an outcome measure, and if they reported data in treated surgical ligation or radiological embolization of the internal spermatic vein compared to untreated or placebo groups. Two authors independently screened potentially relevant trials. Any differences of opinion were tag des mannes 2017 by consensus none occurred for this review. Data collection and analysis Ten studies met the inclusion criteria for the review. For one study we had only data from a published abstract. All ten studies only included men from couples with subfertility problems; one excluded men with sperm counts less than 5 million per mL and one excluded men with sperm counts less than 2 million per mL, with or without progressive motility of less than 10%. Two trials involving clinical varicoceles included some men with normal semen analysis. tag des mannes 2017 Three studies specifically addressed only men with subclinical varicoceles. Studies were excluded from meta-analysis if they made comparisons other than those specified above. No studies reported live birth. The number needed to treat for an additional beneficial outcome was 17, suggesting benefit of varicocele treatment over expectant management for pregnancy rate in subfertile couples in whom varicocele in the man was the only abnormal finding. Omission of the studies including men with normal semen analysis and subclinical varicocele, some of which had semen analysis improvement as the primary outcome rather than live birth or pregnancy rate, was the subject of a planned subgroup analysis. The number needed to treat for an additional beneficial outcome was 7. However, findings are inconclusive as the quality of the available evidence is very low and more research is needed with live birth or pregnancy rate as the primary outcome. Larger studies evaluating the outcomes of gonadotropin replacement during adolescence have not been reported to date; whether previous testosterone substitution affects testicular responses is unresolved. QoL increased in both groups. Background: Fertility protection is essential for men undergoing potentially gonadotoxic treatment. It is usually offered to adolescents and men in reproductive age by semen cryopreservation. In case of azoospermia, testicular sperm cryopreservation is an additional option. In prepubertal boys no sperm cryopreservation is possible. A purely experimental option is cryopreservation of spermatogonial stem cells in immature testis tissue. Method: Transplantation of either immature testis tissue or testicular stem cells or spermatogonia generated in vitro from stem cells are possible options for fertility preservation in boys. Objectives: In this article, the rationale for cryopreservation of gonadal stem cells and the experimental methods for refertilization are summarized. The current research, tag des mannes 2017 and international clinical and research activities and possible perspectives of further development of fertility preservation are explained. To this end, we will introduce novel diagnostic procedures e. This will allow for more precise risk estimates, better counselling of coupl es, and evidence-based treatment decisions. Ultimately, elucidating the causes underlying male infertility and corresponding phenotypes will pave the road for novel, personalised treatment reg imens improving patient care and offspring health. The diagnostic workflow to evaluate male infertility follows a systematic approach to elucidate previous factors influencing fertility and the present status. The medical history should be taken, preferably in the presence of the female partner, and a clinical examination focusing on testicular morphology and function is done, followed by laboratory tests of gonadotropins and androgens as well as semen analysis according to the World Health Organization criteria. Depending on the results, more elaborate investigations may be necessary, such as the genetic background of male infertility or analysis of testicular spermatogenesis. Finally, the differential diagnosis of hypothalamic—pituitary or testicular malfunction will determine the treatment options. Endocrine, surgical, or empirical treatment options such as assisted reproductive techniques can be applied after interdisciplinary diagnosis of both partners, male and female, by the andrologist and a specialized gynecologist to obtain optimal treatment options for the couple. Semen analysis plays a key role in diagnostics of male infertility. Standard procedures of semen analysis include evaluation of sperm concentration, motility, morphology, and vitality as well as determination of round cells, leukocytes, and sperm antibodies. Analysis of biochemical markers is optional. Several methods of sperm preparation are available for assisted reproduction procedures. Patients should be asked to remain abstinent for at least 48 h and a maximum of 7 days prior to ejaculation. Only by means of standardized semen analysis the andrologist is capable of counseling infertile couples and diagnosing andrological deficits to finally determine therapeutic strategies including techniques of assisted reproduction. Die Ursachen für die Infertilität des Mannes sind vielfältig. Sie können endokriner, testikulärer oder exogener Natur sein. Die Diagnostik erkennt Ursachen und ermöglicht eine zielgerichtete Therapie. Klinische, sonographische, endokrine und Ejakulatuntersuchungen sowie die Anamnese gehören zum grundlegenden Vorgehen. Wenn keine kausale medikamentöse oder operative andrologische Therapie anwendbar ist, kommen die Verfahren der assistierten Reproduktion in Abhängigkeit von den weiblichen reproduktiven Funktionen zum Tragen. Bei der Ejakulatanalyse wird neben der Prüfung von Basisparametern nach Infektionszeichen, immunologischen Faktoren und Störungen im Bereich der ableitenden Samenwege gefahndet. Bei 12% aller Patienten findet sich eine Azoospermie. Diese schwerste Form der Fertilitätsstörung hat zu einem hohen Anteil genetische Ursachen, die vor einer weitergehenden Therapie abgeklärt werden sollten. Die häufigste numerische Chromosomenaberration stellt das Klinefelter-Syndrom dar. Im Falle einer nichtobstruktiven Azoospermie besteht bei rund 50% der Patienten tag des mannes 2017 Möglichkeit, mittels testikulärer Spermienextraktion Spermien für eine intrazytoplasmatische Spermieninjektion zu gewinnen. Liegt dagegen eine obstruktive Azoospermie vor, können primär mikrochirurgische rekonstruktive Verfahren zur Anwendung kommen; die testikuläre Spermienextraktion steht erst an zweiter Stelle. Semen analysis plays a key role in the diagnostics of male infertility. Standard procedures in semen analysis include evaluation of sperm concentration, motility, morphology and vitality. In this new version particular attention has been paid to internal and external quality control, helping to identify and correct incidental and systematic errors both in routine analysis as well as in the field of research. The new manual describes all laboratory solutions, procedures and calculation formulas, and focuses on the definition of cryptozoospermia or azoospermia. A chapter concerning cryopreservation of spermatozoa has been newly integrated. Its etiology remains, in the majority of cases, unknown with a variety of factors to contribute to its pathogenesis. The aim of this European Academy of Andrology guideline was to provide an overview of these factors and to discuss available management options. Conclusion These guidelines can be applied in clinical work and indicate future research needs.
Weltmännertag - Jürgen von der Lippe zu Gast bei Gregor Gysi
Most of the affected men are asymptomatic. Ich bin kein Asket, aber wenn es viel Alkohols bedarf, um Gemeinschaft zu sein, dann ist das hohl. So wird unter anderem auf die Gründe der geringeren Lebenserwartung eingegangen, um allen Männern diese Risikofaktoren bewusst zu machen und sie damit im Idealfall zu verringern. Er brachte ihn zu einer Kammer, einen Ort ohne Zugang, 130. Context: Undescended testes at birth may be caused by testosterone deficiency during fetal development. These releases are banned on some other torrent sites due to this controversial history.
