Many couples dream of having a child, but for some, it often seems impossible. Bryan and Jennifer tried for months to conceive, but to no avail. Jennifer had her hormone levels tested, and they were normal. When Bryan had his semen analyzed, the results revealed it did not contain any sperm. Doctors told him he had Klinefelter syndrome, a male genetic disorder that can cause sterility. "I just felt like I failed [Jennifer], had nothing to offer her," Bryan says. "I felt useless. I couldn't give her the one thing she wanted in life."
Urologist Dr. Paul Turek explains that although Bryan's ejaculate did not contain sperm, there may be sperm in his testicles. Two procedures can determine if sperm exists in the testicles: sperm mapping and microdissection.
Dr. Turek developed sperm mapping, a procedure that can predict where sperm might exist in the testicle. Watch as he demonstrates the procedure with a prop. Sperm mapping is best for patients who have had cancer or a severe childhood injury.
Microdissection is a more invasive procedure in which an incision is made in the testicle, opening it like a clam shell and searching the tubules for sperm.
"Although this seems like a devastating diagnosis to you, it's very common in this practice, and I have to say, there is hope that you will have a child," Dr. Turek assures the couple.
Dr. Turek performed microdissection on Bryan and was able to salvage sperm, which were implanted in Jennifer's womb via in-vitro fertilization. Jennifer is now 10-weeks pregnant with twins!
"I'm ready for two kids!" Bryan says.
Three million children in the United States suffer from food allergies. Pediatrician Dr. Jim Sears explains what causes food allergies and warns that they can be fatal if not monitored.
After suffering severe allergic reactions, 3-year-old Jordan was diagnosed as being allergic to peanuts and shellfish. His mother, Cynthia, is reluctant to have her son undergo invasive allergy testing but is worried that as he gets older, he will be more susceptible to other allergens. Cynthia visits allergist Dr. Otto Liao to discuss alternative tests.
Jordan undergoes ImmunoCAP, a blood allergy test used to identify specific triggers. It is conducted through a single draw of blood, which is more comfortable and less time consuming than an extensive skin-prick test.
"Allergy testing has come a long way," Dr. Liao says, adding that allergy testing now is very specific "With blood testing, we're able to measure antibodies and know exactly what Jordan may be allergic to, or what may have triggered his allergic reaction."
The test reveals that Jordan is not allergic to peanuts or shellfish. Dr. Liao says that he will perform follow-up tests to understand what caused Jordan's earlier reactions.
Dr. Liao explains component resolved diagnoses (CRD), another potential breakthrough in allergy testing. CRD measures a patient's relative risk for allergic and severe reactions. Although it is not yet approved by the U.S. Food and Drug Administration, CRD is currently used in Europe.
Community member Selectress101 wrote into ProduceTheDoctors.com to find out if there is a cure for halitosis. Cosmetic dentist Dr. Bill Dorfman performs a procedure that can banish bad breath for good!
Ask Our Doctors: Pharmacist Edition
CVS pharmacist Jeff McClusky and The Doctors share medicine safety tips:
Giving Kids Medicine
• Don't give medications in a beverage or food, unless the doctor or pharmacist says it's OK. Your child may not receive the proper dose if he or she does not finish all the food or beverage, and ingesting the medicine in this form may alter its effect.
• Never use a standard kitchen spoon to measure medicine, because it may be inaccurate. Use a syringe or an official medicine cup with measurements on it.
• Before you leave the pharmacy, ask the pharmacist to show you what the exact dose should be.
• If your children do not like the taste of a medicine, as the pharmacist about other flavor options or inquire about chewable tablets.
• Write down the doctor's instructions so the pharmacist is aware.
• Read the directions on the medications, and ask the pharmacist if you have any questions.
• Store medicine in a cool, dry area, such as the kitchen, bedroom or your office.
• Don't store medicine in the bathroom, because the humidity and change of temperature from the shower can decrease the effectiveness of the medication.
• Keep medicines in a high place, out of reach of children. Make sure grandparents and other relatives do the same, so visiting children can't get to them.