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Related Concept Videos

Routes of Persuasion02:20

Routes of Persuasion

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Persuasion is the process of changing our attitude toward something based on some kind of communication. Much of the persuasion we experience comes from outside forces. How do people convince others to change their attitudes, beliefs, and behaviors? What communications do you receive that attempt to persuade you to change your attitudes, beliefs, and behaviors?
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Author Spotlight: Advancing Varicocele Treatment with Neuromuscular Electrical Stimulation
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The varicocele argument resurfaces.

Sherman Silber1

  • 1Infertility Center of St. Louis, St. Luke's Hospital, Saint Louis, MO, USA. DRSHERM@aol.com.

Journal of Assisted Reproduction and Genetics
|March 29, 2018
PubMed
Summary
This summary is machine-generated.

Varicocelectomy, the surgical repair of varicoceles, is being re-evaluated for male infertility. Emerging research suggests it may improve sperm parameters and testosterone levels, potentially aiding in vitro fertilization outcomes.

Keywords:
Male infertilityRegression toward the meanVaricocele

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Area of Science:

  • Reproductive Urology
  • Male Infertility Research

Background:

  • The efficacy of varicocelectomy for male infertility has been debated for over 50 years.
  • Recent publications in "Fertility and Sterility" strongly advocate for varicocelectomy.
  • The advent of intracytoplasmic sperm injection (ICSI) in 1993 had previously led many to question the benefits of varicocelectomy.

Purpose of the Study:

  • To re-evaluate the role of varicocelectomy in male infertility.
  • To review older studies and incorporate newer research on varicocelectomy's impact.
  • To address the ongoing controversy surrounding varicocelectomy for male factor infertility.

Main Methods:

  • Review of historical and recent scientific literature on varicocelectomy.
  • Analysis of studies examining the impact of varicocelectomy on sperm parameters and testosterone levels.
  • Consideration of varicocelectomy's influence on assisted reproductive technology outcomes, including ICSI.

Main Results:

  • Recent urological literature suggests varicocelectomy may improve sperm count and testosterone levels.
  • Some studies indicate varicocelectomy could enhance the success rates of ICSI.
  • There is a resurgence of interest and evidence supporting varicocelectomy's benefits.

Conclusions:

  • The long-standing debate on varicocelectomy for male infertility requires re-examination.
  • Newer evidence necessitates a re-evaluation of the negative perceptions surrounding varicocelectomy.
  • An open-minded approach is crucial to resolving the controversy and potentially reinstating varicocelectomy as a viable treatment option.