PATHOLOGY

Male Reproduction

BEP

Benign Enlargement ProstrateCause – unknownCommon in men >50Slow progressive enlargement of the glandObstructing urine flowS/S - ^freq, urge, dribbling, incompleteChronic – retention, bladder stones, ruptureDiagnosed with blood tests- PSA

Prostatitis

Pain, swelling, fever, - bacterial from UTITender and swollen on examinationCan become chronicPerineum and back painFrequent urgent painful burning urinationPainful ejaculationCan affect fertilityDiagnosed with blood tests

ORCHITIS EPIDIDYMITIS

Inflammation of testes

Fever with chillsAbdominal painRed painful swollen

tender scrotal areaRemedies – Apis,

Puls, Merc, Bell

Inflammation of Epididymis

A/f -UTI, surgery, cathPain, swelling, fever,

malaiseRemedies – Bell, Apis,

Ars Alb, Merc

Inflammation

IMPOTENCE

Erectile dysfunctionCauses – Functional or OrganicIncidence inc with ageMay or may not be accompanied with low

libidoCauses – injuries and diseases of nervous

system, hypo/hyperthyroidism, atherosclerosis, DM,

Psychological – guilt, depression, stress, anxiety

Alcohol, drugs – prescriptive, recreational

INFERTILITY

Inability to conceive after 1 year of unprotected sexCauses – impotence, premature ejaculation,

defective spermSperm abnormalities – low count and/or deformed 40 million to 300 million is the normal range for

the number of sperm per milliliter. If below 10 million then considered poor; counts of 20 million or more may be fine if motility and morphology are normal.

Causes – congenital, irradiation, severe mumps, stress, nutritional deficiency (Zn, Sel)

Genital Warts

Syphillis

Treponema PallidumContagious STDPrimary stage – sore/ulcer on penis with

painless swelling of nearby lymph nodesSecondary stage – non-irritating rash on

palms/soles 6-12 weeks into infection; fever, malaise, anorexia, mouth sores, hairfall

Latent phase – long time asymptomaticTertiary - ulcerative and degenerative

changes to heart, nerves, skin, and bones.