Objective: To characterize the semen quality of Filipino male partners of couples with infertility and determine the effects of age. Design: Retrospective study. Setting: Andrology laboratory at a tertiary care hospital. Patients: 2,701 males. Main Outcome Measures: Routine semen analysis. Results: Average age of the study population was older and azoospermia occurence was lower than in previous studies. A large proportion had parameters below the WHO reference values. A decreasing trend for all semen parameters across increasing age was observed. For males -51 years old almost all parameters were below WHO values. Subject with abnormal parameters were significantly increasing across age. Occurence of severe oligozoospermia in older males was significantly increased compared to younger males. Conclusion: The study characterized the current status of semen quality in this subpopulation, a very large proportion of which had values below WHO reference. The data illutrate that as men age, semen quality declines.
Human ; Male ; Middle Aged ; Adult ; Young Adult ; SEMEN ANALYSIS ; MALE

Two women presenting with recurrent pregnancy loss were both diagnosed to have septate uterus. After hysteroscopic resection of the septum under laparoscopic guidance, successful term pregnancy was achieved in one patient, while second patient is currently on her 24th week of gestation. Septate uterus is the most common type of congenital uterine anomaly and has long been known to be associated with recurrent miscarriages, late-term abortion, and preterm labor. The pre-treatment abortion rate is 90%, which is both distressing for the patient and frustrating for the physician. Hysteroscopic septal resection under laparoscopic guidance is considered the standard for treatment, and is shown to improve reproductive outcome.
ANOMALY ; SEPTATE UTERUS ; RECURRENT PREGNANCY LOSS

Background: Uterine fibroids are the most common benign tumors in women. Management of symptomatic fibroids may ultimately require surgery and for those desirous of fertility, laparoscopically assisted myomectomy and the conventional laparoscopic procedure are conservative treatment options, with the former providing a less technically demanding approach. Objectives: This study aims to evaluate the clinical outcomes for laparoscopically assisted myomectomy (LAM) versus laparoscopic myomectomy (LM) done at a tertiary hospital. Methods: This is a retrospective chart review of 118 patients with symptomatic myomas who underwent LM (n=66) or LAM (n=52) at a tertiary hospital from January 2010 to December 2017. Results: There were significantly more fibroids removed in the LAM group compared to the LM group, but with no significant difference in the average diameter of fibroid removed. Complex plastic reconstruction with more than 2 layers of repair was done more often in the LAM group (p<0.001). The mean operative time was longer and more blood loss was incurred in the LM group, but this was not statistically significant. Almost 14% of patients in the LM group had blood transfusion compared to 4.1% in the LAM group (p=0.085). The rate of perioperative complications was similar for both groups. The length of hospital stay was shorter in the LM group, but was not statistically significant. A trend towards higher odds of pregnancy was seen in the LAM group. Majority of patients were delivered via cesarean section with no incidence of uterine rupture. The recurrence of fibroids was seen more in the LAM group (17.9% versus 13.7% for LM), however this was not statistically significant. Conclusions The surgical, reproductive, and long-term clinical outcomes for both LAM and LM are similar, thus, LAM provides a non-inferior minimally invasive approach and a conservative option for patients desirous of future fertility.
Uterine Myomectomy ; Laparoscopy