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An incredible new overseas reference paintings on andrology from the EAU portion of Andrological Urology – masking such concerns as male infertility, erectile disorder, late-onset hypogonadism, and reproductive cancers – that engages with modern problem for facts dependent perform, minimizing interventions, and selling male reproductive well-being.
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Extra info for Clinical andrology: EAU-ESAU course guidelines
The risk of trisomy 21 for a woman at the age of 40 is 1 in 100 compared with 1 in 1200 in her twenties. If a woman is successful in conceiving later in life and the pregnancy is viable then there also are added risks during the pregnancy. Older mothers are more likely to develop pre-eclampsia and gestational diabetes. They are also more likely to have placental insufficiency, which leads to intrauterine growth retardation and are twice as likely to have a stillbirth. Other risks include premature delivery, placenta previa, and an increased chance of cesarean section.
Cooperberg MR, Chi T, Jad A, Cha I, Turek PJ. Variability in testis biopsy interpretation: implications for male infertility care in the era of intracytoplasmic sperm injection. Fertil Steril 2005 84:672–677 24. Johnsen SG. Testicular biopsy score count – a method for registration of spermatogenesis in human testes: normal values and results in 335 hypogonadal males. Hormones 1970; 1(1):2–25. 25. Dieckmann KP, Pichlmeier U. Clinical epidemiology of testicular germ cell tumors. World J Urol 2004; 22:2–14.
Cervical screening should be offered in line with the National Cervical Screening Programme guidance because any treatment necessary should be performed prior to pregnancy. Periconceptual folic acid supplementation has been shown to reduce the incidence of neural tube defects in children (2). The recommendations are to take 400 g of folic acid daily for at least 12 weeks preconceptually and for the first 12 weeks of pregnancy. For those who have previously had an infant with a neural tube defect, are diabetic, who suffer from celiac disease or sickle cell disease or thalassemia, or who are receiving antiepileptic medication, a higher dose of 5 mg per day is recommended.