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At azoospermii or at very small volume ejakuljata it is necessary to consider possibility retrogradnoj ejakuljatsii, that is hits ejakuljata in a bladder instead of allocation through mocheispuskatelnyj the channel. The given condition can arise at tumoral, neurologic, system diseases of the patient, for example, at a diabetes. For diagnostics of this condition of the patient ask to empty a bladder after orgazma, reached at a sexual life or with the help masturbatsii. Muddy urine in which the set spermatozoidov is found out, confirms this diagnosis.
Definition of a hormonal profile is spent only under indications as actually it is seldom necessary for definition of type of barreness. Follikulostimulirujushchy a hormone (FSG). Level is defined only at azoospermii or oligozoospermii heavy degree at concentration spermatozoidov less 5 million \ml. Normal level FSG in the absence of other causes of infringement of production spermatozoidov - full or partial obstruction (perezhatie) semjavynosjashchih ways. It is impossible to exclude and the maturing block spermatozoidov. Raised level FSG - product gross infringement spermatozoidov (a syndrome only cages Sertoli, the maturing block spermatozoidov at an early stage, primary testikuljarnaja insufficiency). Low level FSG can speak about decrease in function of a hypophysis. Is useless to define FSG at concentration more than 5mln \ml and the normal size jaichek. Is inexpedient to check level FSG at the known reason of barreness and azoo - or oligozoospermii. However the estimation of level FSG can be useful, for example, at patients with varikotsele - at increase of level FSG operative treatment will be senseless. Ljuiteinizirujushchy the hormone (LG) Is not present necessity to measure level of this hormone at routine inspection of the man.
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