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Male infertility and Men’s health July 25, 2015 No Comments

Klinefelter syndrome

Klinefelter’s Syndrome is a genetic condition that affects about one in 650 men and is present from birth. Men with Klinefelter’s Syndrome have an extra X chromosome which can come from either parent. The normal male chromosome arrangement is 46XY, but ...

Male infertility and Men’s health June 30, 2015 No Comments

Advanced men’s age – potential reproductive effects

The trend of delaying parenthood to the mid or late thirties applies to both women and men. IVF which has become more accessible to the general population, enables couples to pursue a fertility treatment later in their life. The ...

Improving your IVF outcome Male infertility and Men’s health Posts by Dr Barak June 28, 2015 No Comments

What is the contribution of sperm quality to overall embryo quality and IVF success?

Just as poor-quality oocytes produce poor-quality embryos, it is also possible that poor-quality spermatozoa may lead to the production of poor-quality embryos. Several factors contribute to sperm DNA damage, including cigarette smoking, genital tract infection and previous chemotherapy or radiotherapy. Sperm DNA damage is ...

Endometrial Receptivity Improving your IVF outcome Infertility diagnosis June 28, 2015 No Comments

Improving IVF results – Hydrosalpinx

Hydrosalpinx is a Fallopian tube filled with  fluid . It is now recognized that IVF results of patients with Hydrosalpinx undergoing IVF is only one-half that of women who do not have Hydrosalpinges  Moreover, in a prospective, randomized multicentre trial  it was shown that in women ...

Male infertility and Men’s health Posts by Dr Barak June 14, 2015 No Comments

10 Things every man and woman need to know about semen

1. Just 5% of the volume of the ejaculate (semen)  is actual sperm! 2. Sperm is contained in the tail of epididymides. The first part of the ejaculate contains the highest concentration of sperm 3. Most of the contribution to the volume ...

Male infertility and Men’s health Posts by Dr Barak June 11, 2015 No Comments

Your semen analysis indicated Azoospermia – no sperm in the semen – what next?

Azoospermia -  the total absence of sperm from the semen needs to be confirmed in repeated tests with vigorous centrifugation of the semen and careful examination of the pellet. Rarely, an illness or difficulty with collection will cause transient azoospermia; ...

Male infertility and Men’s health Posts by Dr Barak June 11, 2015 No Comments

Your semen analysis indicated sperm abnormal morphology – what does it mean?

Sperm abnormal morphology - Teratospermia is a reduced percentage (<4%) of sperm with normal morphology assessed by microscope as part of the routine semen analysis. We are familiar with different types of abnormalities such as tail defects with ...

Endometrial Receptivity Improving your IVF outcome Posts by Dr Barak June 10, 2015 No Comments

Should couples have sex around embryo transfer time?

One of the most common questions coming from my patients who are about to have an Embryo Transfer or just had one, is whether sex is allowed.  Many couples decide to abstain  from intercourse around the time of embryo transfer ...

Endometrial Receptivity Improving your IVF outcome Posts by Dr Barak June 8, 2015 No Comments

The role of ultrasound in embryo transfer – can it improve IVF results?

The main principle of successful embryo transfer is the atraumatic, gentle placement of high quality embryos within the endometrial cavity. These goals are best achieved with an ultrasound-guided transfer,  avoiding any contact of the catheter tip against the endometrial lining and uterine fundus, and thereby avoiding ...

Improving your IVF outcome Male infertility and Men’s health Posts by Dr Barak June 6, 2015 No Comments

Mediterranean-style diet – improve your IVF chances

Women who follow Mediterranean-style diet rich in vegetables, fruits and lean proteins may improve their chance to conceive naturally and with an IVF treatment. Establishing a healthy eating pattern and weight not just assists with fertility, but it also may influence fetal ...

Improving your IVF outcome Poor responders Posts by Dr Barak June 6, 2015 No Comments

AMH testing – Egg timer

Anti-Mullerian Hormone (AMH) is a hormone produced by small follicles in the ovary which contain eggs. The amount of AMH gives an indication of the number of eggs being produced, or ovarian reserve, and can be tested at any point ...

Improving your IVF outcome Male infertility and Men’s health Posts by Dr Barak June 6, 2015 No Comments

Sperm DNA fragmentation and IVF results – what do we know?

Although the mechanism of DNA fragmentation is not completely understood, some reports suggest that most of this damage happens after the sperm’s release from its supporting Sertoli cell. The loss of the nutritional support by Sertoli cells may aggravate the ...

Male infertility and Men’s health Posts by Dr Barak June 6, 2015 No Comments

Donor Sperm Use – What do you need to know?

The special nature of the use of donor sperm is discussed in detail with the couple so that they are fully aware of the implications for the child and their family. Donor insemination is forbidden in some religions. There ...

Male infertility and Men’s health Posts by Dr Barak June 6, 2015 No Comments

In Vitro Fertilization/Intracytoplasmic Sperm Injection for Male Infertility

ICSI has revolutionized the management of male infertility(low sperm count and abnormal sperm cases). It involves the injection of a single sperm into the egg.  ICSI can be used with almost any live sperm, with an expectation of ...

Male infertility and Men’s health Posts by Dr Barak June 1, 2015 No Comments

Disorders of Sexual Function

Disorders of Sexual Function In a small number of couples (less than 1%), disorders of sexual function are the only reasons for the infertility.  Disorders of sexual function include: failure of sexual intercourse because of inadequate penile erections (erectile dysfunction, ...

Male infertility and Men’s health Posts by Dr Barak June 1, 2015 No Comments

Erectile Dysfunction – What is it?

As a Fertility Specialist I diagnose and treat erectile dysfunction Erectile Dysfunction (ED) Erectile dysfunction may be associated with low libido from androgen deficiency with primary or secondary hypogonadism. Erectile dysfunction related to vascular or neurologic abnormalities (diabetic autonomic neuropathy or ...

Improving your IVF outcome Male infertility and Men’s health Posts by Dr Barak June 1, 2015 No Comments

varicocele – what do we need to know?

Approximately 30-35% of men in my Melbourne IVF clinic who are evaluated for infertility will have a varicocele, a much higher rate than that found in the general population (15%). This high prevalence which is also in agreement with the ...

Poor responders Posts by Dr Barak May 3, 2015 No Comments

Poor responders – Testosterone supplementation and ovarian response

Testosterone  effects follicular response by increasing FSH-receptor activity and growth promoting substances in the follicles (insulin-like growth factor-1 or IGF-1). This results in an increase in the antral follicle count as well as ovarian response. What does this mean? Does the ...

Improving your IVF outcome Posts by Dr Barak May 3, 2015 No Comments

Day 5 (blastocyst) embryo transfer

Transferring embryos at the blastocyst stage may be an option for patients in an IVF cycle. A fertilized egg reaches the blastocyst stage usually 5 days after fertilization. If a patient has a large number of embryos and/or the best ...

Endometrial Receptivity Improving your IVF outcome Posts by Dr Barak May 3, 2015 No Comments

How does endometrial scratching help implantation?

New research and evidence suggests that scratching the uterine lining causes a ‘repair reaction’ which may increase embryo implantation rates and improve IVF outcome: the repair process releases growth factors, hormones and chemicals. The new lining which grows after the procedure is thought to be more receptive ...

Improving your IVF outcome Male infertility and Men’s health Posts by Dr Barak May 3, 2015 No Comments

Varicocele repair and IVF success

Varicocele remains the most common clinical finding in infertile males. Although the exact mechanism remains unknown, there is convincing evidence that varicoceles have an increasingly harmful effect on testes over time, resulting in the decline of seminal parameters and ...

Endometrial Receptivity Improving your IVF outcome Posts by Dr Barak May 3, 2015 No Comments

Endometrial receptivity

Successful implantation requires a receptive endometrium, a normal and functional embryo at the blastocyst development stage (define) and syncronised dialoge between maternal and embryonic tissues. The implantation process may be classifid into three stages: Apposition – Trophoblast cells adhere to the receptive ...

Improving your IVF outcome Posts by Dr Barak May 3, 2015 No Comments

My approach to recurrent implantation failure.

Recurrent implantation failure may be the consequence of embryo or uterine factors. Thorough investigations should be carried out to ascertain whether there is any underlying cause of the condition. Increased sperm DNA fragmentation may be a contributory cause. So, sperm quality investigation ...

Improving your IVF outcome Male infertility and Men’s health Poor responders Posts by Dr Barak May 3, 2015 No Comments

sperm/egg quality and how it contributes to implantation failure.

This post clarifies the rational behind sperm quality investigation and the potential benefit of the "mild-stimulation" protocols I use with patients with poor eggs quality. Compromised eggs quality as a cause of recurrent implantation failure is often suspected when there is ...

Improving your IVF outcome Posts by Dr Barak May 3, 2015 No Comments

10 ways to improve your IVF outcome

1. Eat high quality, whole grain and low glycemic index foods. 2. Avoid processed foods, hydrogenated oils, sugars, and alcohol. 3. Avoid large amounts of soy products. Quit smoking if you smoke. 4. High quality healthy fats should be a big part of ...