Center For Male Infertility, Microsurgery and Men's Health

A varicocele is a common cause of male infertility, and can lead to low s***m production and decreased motility and quality.
Microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications. Mentoring urology resident Mogi Cobangbang

A varicocele is a common cause of male infertility, and can lead to low s***m production and decreased motility and quality.
Microsurgical varicocelectomy performed through a subinguinal or inguinal incision is recognized as the gold-standard approach for varicocelectomy, due to high success rates with minimal complications.

The systematic use of intraoperative vascular Doppler ultrasound during microsurgical subinguinal varicocelectomy improves precise identification and preservation of testicular blood supply.

Mentoring urology resident Mogi Cobangbang

Mentoring urology residents male infertility microsurgery , Obstructive Azoos***mia post Vasectomy and post Failed Bilateral vasovasostomy. Bilateral Vasovasoepididymostomy with Kate Aba

Esteemed Mentors in Male Reproductive Medicine and Microsurgery, Professors Marc Goldstein, MD and Philip Li, MD, NYPH Weill Cornell Department of Urology, NY, New York (after 9 years, at AUA 2024)

Microsurgical Vasectomy Reversal
A viable option in restoring fertility in men obstructive azoos***mia
-Cost effective way to achieve clinical pregnancy in post vasectomy patients and with minimal complications.
- Adherence to good microsurgical techniques will result in excellent patency rates and pregnancy outcomes

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Dennis G Lusaya

Vasectomy reversal (Microsurgical) is surgery to undo a vasectomy. During the procedure, a surgeon reconnects each tube (vas deferens) (Vasovasostomy) that carries s***m from a testicle into the semen. After a successful vasectomy reversal, s***m are again present in the semen, and you may be able to get your partner pregnant.

In some cases, the vas deferens may be attached directly to the epididymis (Epididymo-vasostomy)- the part of the testicle where s***m matures

Vasectomy reversal (Microsurgical) is surgery to undo a vasectomy. During the procedure, a surgeon reconnects each tube (vas deferens) (Vasovasostomy) that carries s***m from a testicle into the semen. After a successful vasectomy reversal, s***m are again present in the semen, and you may be able to get your partner pregnant.

In some cases, the vas deferens may be attached directly to the epididymis (Epididymo-vasostomy)- the part of the testicle where s***m matures

Testosterone and luteinizing hormone predict semen parameter improvement in infertile men treated with anastrozole
Full text: https://www.fertstert.org/article/S0015-0282(23)00635-0/fulltext

Fertility outcome after Bilateral Microsurgical Varicocelectomy, after 2 years, natural pregnancy and delivery of a healthy baby girl. https://youtu.be/3N5EUdXAFtk?si=Kj9zNvLNudHd6yNf

Male infertility, Azoos***mia (zero s***ms in the ej*****te) also known as Nonobstructive azoos***mia (NOA) is due to a failure in s***matogenesis. It is the most severe form of male infertility caused by intrinsic testicular failure or inadequate gonadotropin production. However, microsurgical testicular s***m extraction (microTESE) may offer men with a diagnosis of NOA a pathway to biological parenthood.

Restoring Male fertility thru microsurgical reconstruction

Microsurgical Vasovasostomy (Vasectomy Reversal) 2021 ed., A/Prof Dennis G. Lusaya, MD, Philippines This video highlights our current technique of Microsurgical Vasovasostomy (Vasectomy reversal) in the management of Obstructive Azoos***mia post vasectomy.

Mentoring male infertility microsurgery, (microsurgical vasovasostomy and epididymovasostomy) and
Onco TESE

Conceiving the Philippine Society of Male Reproductive Medicine and Infertility (with German Jose Albano, Dennis G.Lusaya, Marlon Martinez)

Center For Male Infertility, Microsurgery and Men's Health updated their business hours.

Restoring Male Fertility after bilateral vasectomy thru microsurgical reconstruction: https://youtu.be/XAw_DwByAiw

How Smoking affects Fertility

Ni****ne product use — and dependence — isn’t good for your health, period. Its effects on reproductive health are also well documented. But what about va**ng? Is it just as bad? Below, we'll give you the lowdown on the impact of both va**ng and smoking on your fertility and answer these questions:

What should you know about smoking’s impact on fertility?
When can you quit smoking in order to reverse the effects?
Can secondhand smoke impact your fertility?
Is va**ng a healthier alternative to smoking?
Does va**ng cause infertility?
How does cigarette smoking impact fertility?
The science is unequivocal on this one: In addition to the detrimental long-term health effects of smoking (cardiovascular disease, lung cancer, strokes, rheumatoid arthritis), it can also impact your fertility. According to the “Smoking and Infertility” committee opinion by the American Society for Reproductive Medicine (ASRM), “Even at one-half pack per day use, female cigarette consumption has been associated consistently with decreased fecundity.” (Fecundity = fertility.)

Here’s exactly how ci******es can affect your reproductive system:

Decreased egg quality and faster egg loss: Ni****ne, cyanide, and carbon monoxide, the chemicals in cigarette smoke, may speed up the loss of eggs and impair the quality of eggs and the function of your ovaries.
Earlier menopause: Smoking can result in earlier menopause (one to four years before non-smokers).
Ectopic pregnancies: Smoking ci******es increases the risk of ectopic pregnancy (that's when the fertilized egg attaches in a place other than the uterus).
S***m quality: Smoking can adversely affect s***m motility (that's s***m’s ability to move), s***m count, and morphology (that’s the shape of s***m, and cigarette smoking may cause higher numbers of abnormally shaped s***m). Smoking can also decrease s***m’s ability to fertilize eggs.
But quitting smoking makes a huge difference in your health — and that includes your fertility:

Positive changes in eggs may be seen in women three months after smoking cessation.
Men are advised to wait three months after quitting smoking before testing for improvement in s***m quality.

What about secondhand smoke?
A study published in the journal To***co Control in November 2016 examined the association between secondhand smoke consumption and early menopause (before age 50). It found that those who did not smoke, but were exposed to the highest levels of secondhand smoke, reached menopause 13 months before their non-smoking peers who had not been exposed to secondhand smoke. If you don't smoke, but your partner does (or vice versa), keep in mind that secondhand smoke can also have an impact on reproductive health.

Va**ng and Fertility:

How does va**ng impact fertility?
Va**ng is an alternative to traditional ci******es that involves inhaling v***rs produced by an electronic cigarette (or similar device). E-ci******es (like JUUL) are essentially electronic ni****ne delivery systems. To v**e, you use a device with a cartridge containing ni****ne (or tetrahydrocannabinol aka THC, the psychoactive component of the ma*****na plant) and propylene glycol, and a battery. When you inhale, the ni****ne is v***rized through the mouthpiece.

E-cigarette use isn't regulated in the same way as traditional ci******es, which means there’s a lot we don’t know about what might be going into the body. For a long time, e-ci******es were viewed as safe, but research reveals that there are possible dangers:

As of February 18 2020 (after which this data stopped being collected), 2,807 cases of e-cigarette or va**ng associated lung injury (EVALI) have been reported. According to the Centers for Disease Control and Prevention (CDC), the illnesses can be traced back to vitamin E acetate, a chemical used as an additive or thickener in some va**ng products.
In October 2019, the Food and Drug Administration (FDA) issued a warning to the public to refrain from using any va**ng supplies containing THC or any va**ng products that come from an unknown source.
Even before the EVALI outbreak, though, there was evidence that va**ng isn't safe:

A study published in Environmental Science & Technology in July 2016 identified harmful emissions in e-cigarette v***r, including carcinogens and irritants. (These irritants were found at a much lower level than in conventional ci******es, but they were present enough to be dangerous.)
The American Heart Association makes it clear that va**ng isn’t a safer alternative to to***co products — and it's not always a successful way to cut down on cigarette smoking.
Scientists are currently conducting studies to evaluate the relationship between va**ng and cancer, as well as va**ng and cardiovascular health.
So, can va**ng cause infertility or make you infertile?
The more research that's done, the more it's confirmed that va**ng does impact fertility. In fact, after the Baptist University in Hong Kong found a link between e-cigarette toxins and fertility issues, Hong Kong called for an immediate and total ban on all e-ci******es. How else does va**ng cause infertility?

Decreased s***m quality: Researchers at University College London found that the flavoring in “v**e juice" — a mixture of water, food-grade flavoring, a choice of ni****ne levels or zero ni****ne, and propylene glycol or vegetable glycerin — can affect s***m and greatly diminish fertility. Specifically, the bubblegum flavor killed off cells in the testicles and the cinnamon flavor negatively impacted s***m motility.
Delayed fertilization: A new study conducted by scientists at the University of North Carolina at Chapel Hill and published in the Journal of the Endocrine Society suggests that using e-ci******es before conceiving delays implantation of a fertilized embryo in the uterus, thereby delaying and reducing fertility.
Impacts on offspring: The same study from the Journal of the Endocrine Society also revealed that e-cigarette usage by pregnant women altered the long-term health and metabolism of female offspring. Kathleen Caron, PhD, an author on the study, says these findings have changed how e-ci******es are generally perceived.
Kicking the habits
If you plan on getting pregnant in the future, staying away from all ni****ne and va**ng is a good idea. But both smoking ci******es and va**ng can be hard habits to kick. According to the American Cancer Society, there are a few methods to try:

Medications: The US Food and Drug Administration (FDA) has approved seven types of smoking cessation medications to safely and effectively help people quit smoking, including ni****ne gum, patches, lozenges, inhalers, nasal sprays, and two drugs (Zyban and Chantix).
Counseling: Therapy, group counseling, and telephone counseling are all proven to help. For example, people who use telephone counseling have twice the success rate in quitting smoking as those who don’t use that type of help. (In fact, every state offers a free telephone-based program — you can call the American Cancer Society at 1-800-227-2345 to get help finding a phone counseling program in your area.) You can also find support in your community and talk with your healthcare provider about what steps to take

Success story of a Couple with infertility due to non-obstructive azoos***mia (NOA) having their genetically own child by testicular s***m extraction combined with ICSI (TESE-ICSI)

Natural Pregnancy restored thru Microsurgical Reconstruction of the Male Ductal system

Another patient experience and testimonial
"Patient experience and outcome matters"
Long before social media, the Internet and print ads.
There was WOM (Word Of Mouth)

Destigmatizing Urology: Dr. Schlegel discusses male infertility https://www.urologytimes.com/view/destigmatizing-urology-dr-schlegel-discusses-male-infertility via

Destigmatizing Urology: Dr. Schlegel discusses male infertility “The urologist's role is to try to normalize what is going on and provide easier access,” says Peter N. Schlegel, MD.

It's now easier to email Center For Male Infertility, Microsurgery and Men's Health

The Male Biological Clock – How to Tell the Time https://www.medscape.com/viewarticle/961569?src=soc_tw_share via

Natural Pregnancy thru Microsurgical Reconstruction of the male ductal system for Obstructive Azoos***mia . A 30 yr old male with primary bilateral epididymal obstruction, underwent bilateral (Testicular s***m retrieval and Biopsy: Normal s***matogenesis and s***m cryo in 2019) subsequently underwent bilateral microsurgical epididymovasostomy 1 week later.

In 2021 partner delivered a healthy baby boy. Giving a couple the chance to fullfill there dream thru Male infertility Microsurgery.

Functional and Taxonomic Dysbiosis of the Gut, Urine, and Semen Microbiomes in Male Infertility

The Center for Advanced Reproductive Medicine and Infertility, St. Luke's Medical Center - Global City cordially invites you to join CARMI's 10th Year Anniversary Symposium: A Decade of Learning in ART, to be held virtually on October 8-9, 2021, 3-6pm. We have exciting lectures from two world-renowned foreign speakers and the country's ART experts will be presenting local practices and IVF outcomes.

Please register via this link - https://bit.ly/SLMC_CARMISymposium

And we look forward to seeing you all virtually!

Male infertility microsurgery represents the fastest growing sub-specialty in urology and clinical andrology over the past two decades. The importance of microsurgery for male infertility has risen as a part of the urologist's armamentarium in the medical and surgical management of male infertility. Despite the advances in male infertility microsurgery in the Philippines,the lack of standardized and well-organized training programs for male infertility microsurgery remains a serious problem affecting its development. The Pandemic has added another challenge to the training of future Microsurgeons.

Male infertility microsurgery is physically, technically and mentally challenging, and must be first learned in the laboratory. Clinical success depends heavily upon appropriate training in a microsurgical laboratory. Good training can significantly reduce operation time and surgical errors as well as improve the quality of outcomes.

Inspired by Experts Drs Marc Golsdstein, Peter Schlegel and Master Mentor Dr Philip S. Li, we embark on a journey on ways to innovate and train future microsurgeons using material that are ubiquitous, except the micro sutures and instruments, that will help facilitate this endeavor