Treatment of male infertility
Article Abstract:
The treatment of male infertility is limited by a lack of understanding of the pathology of the condition, but some approaches have proven effective for some patients. Lifestyle may influence fertility, with cimetidine, lead, arsenic and the use of drugs like cocaine and marijuana being among the substances that may interfere with the creation of sperm. The use of alpha-adrenergic drugs alone or in combination with physical stimuli may allow men who cannot otherwise achieve emission to do so. Small amounts of ejaculate may be due to retrograde ejaculation, which can be treated in the same manner. Intrauterine insemination is a possible option for men with high percentages of abnormal semen. Microsurgical procedures may aid men with congenital abnormalities. A number of hormonal therapies have been found to be successful in some patients for whom the cause of infertility is unknown, but most such treatments are clinically unproven.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1995
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The treatment of scabies with ivermectin
Article Abstract:
Ivermectin may be an effective oral treatment for scabies in patients with no other disorders and in HIV-infected patients. Scabies is an infection of the skin by a mite, and causes an itching rash. A dose of 200 micrograms/kilogram of body weight of ivermectin was given to scabies patients with no other ailment and to scabies patients with HIV infection. Of the 11 otherwise healthy patients who received a single dose, 5 were cured in 2 weeks and 6 were cured in 4 weeks. Of 11 HIV infected patients who received a single dose, 6 were cured in 2 weeks and 2 were cured in 4 weeks. Two other HIV patients were given a second dose and were cured 4 weeks after the initial dose. One HIV patient with a severe case of scabies required three doses and permethrin cream to be cured after several weeks. No patients experienced negative side effects.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1995
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Endometrial resection for the treatment of menorrhagia
Article Abstract:
Surgical removal of the endometrium may be effective in treating excessive uterine bleeding, a condition called menorrhagia. The endometrium is the inner lining of the uterus. A total of 525 women were treated by endometrial resection for menorrhagia. Only 10 experienced a perforation of the uterus during surgery, which was promptly treated in 9 women. Long-term follow-up revealed that 90% of the women were able to avoid having a hysterectomy, which was the usual treatment for this condition in the past. Only 16% required further surgery.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
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