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Is quality really necessary? Con Pro
– ”It is too expensive”
– ”It delays treatment of the couple”
– ”It doesn’t change the choice of treatment of the couple”
– ”no semen parameter can predict fertility success or failure”
– What is the cost for wrong diagnosis and treatment?
– How else find the cause?
– Not when done properly – and should lead to best treatment with better success rate
– Still art treatments of couples are not very successful. Why?
– This is not true – combined parameters are good to predict in vivo and in vitro
ESHRE-SIGA PreCongress Course 5 July 2, 2017
Semen analysis – not only for ART
– Finding the cause
– T esticular
– Genetic
– Endocrine
– Obstruction – CBAVD
– Prostate enlargement
– Insufficient α-receptor stimulation?
– Inflammatory/post inflammatory
– Ejaculatory duct obstruction
– Partial/complete retrograde ejaculation
ESHRE-SIGA PreCongress Course 6 July 2, 2017
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