Paul Turek

I look at that as a poker hand with each card has a meaning, but they have a look. So if you said, what do you mean by that? So if the volume is low... It's one of five things. You're always going to find something. It's at the collection error. I call it first sample syndrome. Guy's not good at it. You know, it's like, okay, I got to put it in the cup and I got to stop doing what I'm doing.

I look at that as a poker hand with each card has a meaning, but they have a look. So if you said, what do you mean by that? So if the volume is low... It's one of five things. You're always going to find something. It's at the collection error. I call it first sample syndrome. Guy's not good at it. You know, it's like, okay, I got to put it in the cup and I got to stop doing what I'm doing.

So you do a second sample. And then there's low testosterone can cause it. There's an absent vas deferens, which means you have an absent seminal vesicle. There's ejectory. And by the way, do you ever have that on one side and not the other? No, it's very variable. It's segmental. So there's five real issues. So when I see a low volume semen as a surgeon, I'm going to find something.

So you do a second sample. And then there's low testosterone can cause it. There's an absent vas deferens, which means you have an absent seminal vesicle. There's ejectory. And by the way, do you ever have that on one side and not the other? No, it's very variable. It's segmental. So there's five real issues. So when I see a low volume semen as a surgeon, I'm going to find something.

So that's really good. Other than that, the semen analysis, I think I've been published as saying it's a blunt instrument for fertility. Unless it's zero, you can't really say much about their fertility because people conceive at all levels.

So that's really good. Other than that, the semen analysis, I think I've been published as saying it's a blunt instrument for fertility. Unless it's zero, you can't really say much about their fertility because people conceive at all levels.

So one of them is called, I call it syndromic sperm shape problem. So you can have a perfectly normal semen analysis, count motility, volume, progression, and the sperm look terrible. And so there are rare conditions, one in 5,000, where you might have globosospermia or two-tailed sperm or pinhead sperm. So if you look at shape, 4% should look normal, which is terrible.

So one of them is called, I call it syndromic sperm shape problem. So you can have a perfectly normal semen analysis, count motility, volume, progression, and the sperm look terrible. And so there are rare conditions, one in 5,000, where you might have globosospermia or two-tailed sperm or pinhead sperm. So if you look at shape, 4% should look normal, which is terrible.

We can have a whole discussion about why 4% of human sperm being normal is normal when 99% of animal species in the wild have normal-looking sperm. But it's all a construct. It's all a construct of someone decided what normal is. But in men who have large abnormal forms, like 4% is normal if they're 1% normal, and you look at the abnormalities.

We can have a whole discussion about why 4% of human sperm being normal is normal when 99% of animal species in the wild have normal-looking sperm. But it's all a construct. It's all a construct of someone decided what normal is. But in men who have large abnormal forms, like 4% is normal if they're 1% normal, and you look at the abnormalities.

But again, it's a construct. It's like putting stars, ordering stars in the universe, Cassiopeia. Someone named Kruger said, this is what a normal sperm looks like.

But again, it's a construct. It's like putting stars, ordering stars in the universe, Cassiopeia. Someone named Kruger said, this is what a normal sperm looks like.

Yeah.

Yeah.

But most of them are going to be amorphous. Head's a little rounder, head's a little narrower. Those are called stress patterns. And things like hot baths and varicoceles and smoking will do that, which isn't that bad. In the case of 1% normal, you've got to look at the 99%. Because that's not the story. The story's in the other chunk. And if they're all looking the same, then it's syndromic.

But most of them are going to be amorphous. Head's a little rounder, head's a little narrower. Those are called stress patterns. And things like hot baths and varicoceles and smoking will do that, which isn't that bad. In the case of 1% normal, you've got to look at the 99%. Because that's not the story. The story's in the other chunk. And if they're all looking the same, then it's syndromic.

And then you have a problem.

And then you have a problem.

And that's hard to fix. I mean, they'll fail with sex. They'll fail with inseminations. They'll fail with IVF. They'll fail with IVF. Yeah, they'll fail with IVF and ICSI. Sometimes with globosuspermia, where they're called lollipop sperm, they just have a big round head with no acrosome. If there's all nucleus and there's some of the components, they'll just bounce off an egg. They'll never work.

And that's hard to fix. I mean, they'll fail with sex. They'll fail with inseminations. They'll fail with IVF. They'll fail with IVF. Yeah, they'll fail with IVF and ICSI. Sometimes with globosuspermia, where they're called lollipop sperm, they just have a big round head with no acrosome. If there's all nucleus and there's some of the components, they'll just bounce off an egg. They'll never work.