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Breaking News

Breaking News

Sperm count drops 59% in western civilizations

A recent analysis involving more than 200 studies collected over a span of 40 years, has revealed that men in the western world have seen a 59% decrease in sperm count, altogether with a 52% drop in sperm concentration. The analysis does not get into the different factors (or a specific one) leading to the decline, but it being a recollection of 42,000 men indicates that it should correlate to common habits in the western civilization. Use of plastic containers and consumption of food heavily treated with hormones and antibiotics "might leech out some of these endocrine disruptors" comments Dr. Russel Williams, founder of the ManCenters. This count drop is particularly worrying to men wanting to have kids in the near future.
A low sperm count is a medical condition and, as such, it needs to be treated by a specialist. Semen samples will need to be collected, but in Dr. Williams' words: "Guys need to understand that a simple semen sample gives us a lot of information, it’s very important not to be embarrassed about producing that sample." It is very important to understand that men need to be more proactive about taking care of their own health.
Our specialists at the ManCenters understand the problem and always look for the right diagnosis to create a comprehensive solution to the man affected by this problem. We can help guiding to the right direction on the correct medical treatment as well as the behavioral changes to boost those sperm count levels!

"[Sperm count] is a medical issue, not a measure on how much of a 'man' you are, so you should get it tested!"

NewsFix, July 27th, 2017
G. Trudeau

Low Serum Testosterone Levels are associated with Increases in Cardiovascular Disease Biomarkers

On their award-winning poster at annual meeting of the American Urological Association in San Diego, California, Dr. Pastuszak and his team assesed the relationship between cardiovascular (CV) risk and testosterone levels. While previous studies had shown that initiating testosterone therapy (TTh) in hypoglonadal men may lead to an increase in CV events, this new study assessed it as a function of plasma testosterone levels using objective biomarks.
The study concluded that, as previously found out, low testosterone levels increase the CV risk. Interestingly, though, the study also concluded that high testosterone levels increase the CV risk as well. Increase in CV risk was therefore determined to occur on testosterone levels <250 ng/dl, and the same increase was noted at levels 1,000 ng/dl and higher. Such high testosterone levels are commonly seen as one of the side effects of testosterone shots.
ManCenters is not only helping men recover their own natural testosterone, but our programs to remove the necessity of testosterone shots are aimed at bringing the testosterone levels to normal. This, also keeps our patients at low CV risk!

"Interestingly, while patients with low testosterone levels were at an increased CV risk when examining all biomarkers, [many of them] exhibited a U-shaped distribution, suggesting additional CV risk at very high T levels."

American Urological Association News - November 2016
Alexander W. Pastuszak, MD, PhD, et. al

What are Infertility Treatment Center Websites Telling Couples about Male Factor Infertility?

Dr. Leung and his team evaluated patient directed information provided on the websites of 428 infertility treatment centers based on the 2011 CDC (Centers for Disease Control and Prevention) Fertility Clinic Success Rates Report. The website of each center was evaluated for the presence and/or description of terms related to the etiology (the cause, set of causes, or manner of causation of a disease or condition), workup and treatment of male factor infertility using a standardized data abstraction form.
The study concluded that couples relying on Internet based information regarding infertility evaluation and treatment are not well informed about the importance or the benefit of a male factor evaluation, as only a small portion of the sites studied acknowledged a male factor etiology for infertility, or even mentioned any evaluation of the male partner. Furthermore, only 23% discussed referral to a urologist.
ManCenters is filling the gap in care for male fertility enhancement services!!! We are critical to support the health of men their 20s 30s 40s and 50s.

"An estimated 80% of Americans report routinely using the Internet to search for information relating to medical diagnoses and treatments.  Similar trands have certainly been noted among infertile couples."

Urology Practice Journal
Dr. Andrew K. Leung, et. al

Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in men with low count sperm and a varicocele

Dr. Kirby and his team evaluated how varicocele repair impacts pregnancy and live birth rates in infertile couples undergoing assisted reproduction wherein the male partner has severely low sperm counts (oligospermia) or zero sperm count (azoospermia) and a history of varicocele.
The study concluded that oligospermic and azoospermic patients with clinical varicocele who undergo treatment to correct the varicocele experience improved live birth rates and PRs with IVF or IVF/ICSI. For persistently azoospermic men after varicocele surgery requiring TESE for IVF/ICSI, varicocele repair improves sperm retrieval rates. Therefore, varicocele repair should be considered to have substantial benefits for couples with a clinical varicocele even if oligospermia or azoospermia persists after repair and assisted reproductive technology is required.
The urology professionals at the ManCenters have been continuously working with treating men with a varicocele, which (per the article's findings) increases both the pregnancy rate and live birth rate for the couple entertaining the idea of a IVF ICSI cycle.

"Pregnancy rates were higher in the azoospermic group (OR = 2.336) and combined oligospermic/azoospermic groups (OR = 1.760). Live birth rates were higher for patients undergoing IUI after VR (OR = 8.360)"

American Society for Reproductive Medicine
E. Will Kirby, M.D, et. al

Sons born with fertility treatment 'inherit problems'

A study by a team from the Universiteit Brussels looked at 54 men aged 18 to 22 conceived using Intra-cytoplasmic sperm injection (ICSI), who were compared with 57 men of the same age. The study found out that the men conceived using ICSI had half the sperm concentrate in the ejaculate and that sperm was two-fold lower total sperm count and motile sperm, in comparison to the men who were conceived naturally. Motility in sperm refers at how well the sperm can swim.
The leader of the Male Reproductive Health Research Team at the University of Edinburgh, Prof Richard Sharpe, says that "the results are a reminder to us that ICSI is not a treatment for male infertility, but simply a way of bypassing a problem and leaving it for the next generation to deal with - something my generation seem horribly adept at doing."
We at the ManCenters have been counseling our patients for years that it is important to understand the underlying cause for decrease fertility to reveal the chance it will be passed along. Only then can a couple decide if they want to proceed with partner sperm or banked sperm during a IVF ICSI cycle.

"The results are a reminder to us that ICSI is not a treatment for male infertility, but simply a way of bypassing a problem and leaving it for the next generation to deal with."

BBC News
Prof Richard Sharpe, University of Edinburgh

Metabolic syndrome solution on the rise in men!

Affecting almost 35% of adults in the United States, metabolic syndrome is one of the fastest growing health issues. Metabolic syndrome is a grouping of five risk factors:

  • Large waist size (>40 inches for men)
  • High blood pressure
  • High triglycerides
  • Low HDL (“good”) cholesterol
  • High blood sugar
  • Anyone with three or more of these risk factors is at risk for metabolic syndrome. This combination makes people twice as likely to develop heart disease and five times as likely to develop diabetes, compared with people who do not have metabolic syndrome. Erectile dysfunction quickly develops in those who have high blood pressure and poor sugar control.
    Improving these measures now can help to prevent serious — and costly — health conditions. In many cases, lifestyle changes can help, such as increased exercise and improved diet.
    To help combat metabolic syndrome, The ManCenters professionals has developed an approach focusing on:

  • Identification of risks by measuring cholesterols, vitals signs, body mass index, and markers of glucose control.
  • Identifying low testosterone which is very common in individuals with metabolic syndrome.
  • Correcting low testosterone to enhance cardiovascular capability and treatment of excessive estrogen production common in obese individuals.
  • If upon correcting these measures there is residual sexual dysfunction then the professionals at the ManCenters have many treatment for sexual dysfunction.
  • The ManCenters focus is not simply treating the symptoms but correcting the underlying problem causing poor health.

    "Not all doctors agree on the definition or cause of metabolic syndrome. The cause might be insulin resistance. Insulin is a hormone your body produces to help you turn sugar from food into energy for your body. If you are insulin resistant, too much sugar builds up in your blood, setting the stage for disease."

    MedlinePlus.gov
    NIH: National Institute of Diabetes and Digestive and Kidney Diseases

    Erectile Dysfunction Linked to Low Vitamin D

    The Mancenters and their medical professionals once again focus on the underlying condition affecting male wellness and health instead of just treating symptoms.
    A common approach to treating Erectile Dysfunction is the use of medications like Viagra®, Cialis® or Levitra®. The medical professionals at the ManCenters have recognized that low vitamin D is associated with endothelial dysfunction and/or atherosclerosis both conditions causing poor blood flow in small arteries.
    Men treated through the ManCenters are able to improve blood flow to maximize erections and also to maintain good heart health.

    "Men with vitamin D deficiency—defined as a 25-hydroxyvitamin D [25(OH)D] level below 20 ng/mL—have a significant 30% and 80% greater prevalence of ED and severe ED, respectively, compared with men who have optimal levels (30 ng/mL or higher), after adjusting for comorbidities, lifestyle variables, and medication use, investigators reported in Atherosclerosis (2016;252:61-67). In addition, each 10 ng/mL decrease in 25(OH)D was associated with a significant 12% increased prevalence of ED."

    Renal & Urology News (September 2016, Volume 15, Issue Number 7)
    Jody A. Charnow, Editor

    Do you take insurance?

    Yes we take insurance including such plans as Aetna, Blue Cross Blue Shield, CIGNA, Memorial Herman Gold, Tricare and UnitedHealthcare.
    We can also work with the Out of Network benefits of most insurances. If you have a doubt about yours, you can always give us a call at (832) 358-8600.