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棉酚作为安全有效和可逆男用节育药的一线新曙光——低剂量棉酚组合甾体激素用药抗生育作用 被引量:11
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作者 薛社普 《中国医学科学院学报》 CSCD 北大核心 2000年第3期211-213,共3页
介绍和评述本期 2篇研究论文所取得的进展。该研究针对影响棉酚成为广泛应用的男性节育药的不可逆性不育和低血钾症毒副作用 ,采用一种新的用药方案 ,即以低剂量棉酚 (12 mg· kg- 1 · d- 1 )合并甾体激素 (甲基睾丸素 2 0 mg&... 介绍和评述本期 2篇研究论文所取得的进展。该研究针对影响棉酚成为广泛应用的男性节育药的不可逆性不育和低血钾症毒副作用 ,采用一种新的用药方案 ,即以低剂量棉酚 (12 mg· kg- 1 · d- 1 )合并甾体激素 (甲基睾丸素 2 0 mg· kg- 1 · d- 1 和炔雌醇 10 0 μg· kg- 1 · d- 1 )服药 6周 ,作为起始剂量 ;然后 ,用同上单独低剂量棉酚作为维持剂量 ,连服 12周。结果可见服药大鼠在 6周内附睾精子被杀伤而起效不育。维持量可维持不育 ,未见产生不可逆性不育和血钾水平异常现象 ,脏器组织正常。停药 6周后全部恢复生育力。男性志愿者服低剂量棉酚 (15mg/d)后在 12周达到不育 ,改服维持量 (10 m g/d) 4 4周可维持不育并未出现低血钾症 ;停药 10周后 ,生育力和所导致的组蛋白 -精核蛋白取代反应 (HPRR)异常现象全部恢复。这些结果为组织进行低剂量棉酚合并甾体激素的临床新用药方案的试用及其作为安全可逆男用节育药的可能性提供了前景。 展开更多
关键词 棉酚 男用节育药 安全性 可逆性不育 甾体激素
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支持细胞紧密连接与男性避孕 被引量:3
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作者 陈德宇 黄宇烽 《细胞生物学杂志》 CSCD 2005年第3期295-300,共6页
支持细胞的紧密连接是血睾屏障的主要组成成分,对支持细胞紧密连接结构与功能的深入研究有助于探讨男性避孕的新的研究方法。对紧密连接动力学的影响因素以及其与精子发生和男性避孕间的关系进行了分析。为进一步探讨男性避孕的研究方... 支持细胞的紧密连接是血睾屏障的主要组成成分,对支持细胞紧密连接结构与功能的深入研究有助于探讨男性避孕的新的研究方法。对紧密连接动力学的影响因素以及其与精子发生和男性避孕间的关系进行了分析。为进一步探讨男性避孕的研究方法提供新思路。 展开更多
关键词 支持细胞 紧密连接动力学 男性避孕 血睾屏障 精子发生
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α1A-受体拮抗剂坦索罗辛作为潜在性男性避孕药的临床研究 被引量:3
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作者 王金 金讯波 《泌尿外科杂志(电子版)》 2012年第4期6-10,共5页
目的探讨坦索罗辛作为一种潜在的男性避孕药应用的有效性和安全性。方法 40名受试者随机分为2组(A组和B组),按依次交叉的方式给予安慰剂和坦索罗辛(单次口服剂量为0.4 mg或0.8 mg),每次给药之间有7天的间歇期。每次给药后4~6小时,评估... 目的探讨坦索罗辛作为一种潜在的男性避孕药应用的有效性和安全性。方法 40名受试者随机分为2组(A组和B组),按依次交叉的方式给予安慰剂和坦索罗辛(单次口服剂量为0.4 mg或0.8 mg),每次给药之间有7天的间歇期。每次给药后4~6小时,评估每个受试者的射精情况,同时记录性欲和坦索罗辛的不良反应。结果服用0.8 mg坦索罗辛后,所有受试者均发生了不射精症;服用0.4 mg的坦索罗辛后,有功能的精子总数显著减少。6名受试者表示服用0.8 mg的坦索罗辛后出现可忍受的不适,其中1名出现眼睑下垂、2名出现鼻塞、3名出现乏力。症状在服药10小时后消失。结论坦索罗辛可导致男性射精异常,且存在剂量相关性。α1A-肾上腺素受体拮抗剂坦索罗辛在将来可能成为一种男性避孕药,需进一步研究证实。 展开更多
关键词 男性避孕 α1A-受体拮抗剂 射精障碍
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Spermicidal Effects of Methanolic Extract of Cestrum parqui Leaves on Human Spermatozoa:A View through DNA Breakage and Disruption of Membrane Ultrastructure 被引量:1
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作者 Hanéne Chenni Debidas Ghosh +2 位作者 Kazi Monjur Ali Kausik Chatterjee Mohamed Mounir Trabelsi 《Journal of Reproduction and Contraception》 CAS 2011年第4期223-232,共10页
Objective To focus on the possible mechanism about the spermicidal effect of methanolic extract of leaves of Cestrum parqui (Solanacea) on human spermatozoa. Methods Sperm motility and viability were noted according... Objective To focus on the possible mechanism about the spermicidal effect of methanolic extract of leaves of Cestrum parqui (Solanacea) on human spermatozoa. Methods Sperm motility and viability were noted according to the guideline of WHO. The morphological changes in chromatin materials and in plasma membrane at the head part of the spermatozoa were assessed under transmission electron microscopy (TEM). DNA fragmentation index (DFI) of spermatozoa in percentage was assessed by terminal deoxynucleotidyl transferase mediated dUTP nick end labelling (TUNEL) using kits. For confirmation of DNA breakage, gel electrophoresis of DNA was conducted using 1.2 % agarose gel. Results Sperm viability and motility were both decreased in dose-dependent manner from 50 to 300 lzg/ml of methanolic extract in respect to the control. Loss of viability and motility both were noted 100% at the dose of 300 #g/ml within 5 min. From the microphotography it has been revealed that chromatin condensation at the dose of 200 lzg/ml is more than the control without any noticeable alteration in plasma membrane. In contrast, chromatin decondensation has been noticed at the dose of 300 I^g/ml along with a remarkable disruption in plasma membrane. Analysis of DNA damage by TUNEL revealed a significant elevation (P〈0.01) in the level of% DFI at the dose of 200 μg/ml (moderate dose) after 17 h in respect to the control. But at the dose of 300 lzg/ml, no significant variation was observed in this parameter upto 24 h of exposure though a significant variation (P〈0.01) was noted after 48 h of exposure compared with the control. Gel electrophoresis of DNA also followed the same type of results i.e. 200 lzg/ml affected DNA integrity but other doses were ineffective in this concern. Conclusion The extract of Cestrum parqui at moderate dose exhibited spermicidal activity by inducing apoptotic pathway but at the high dose it caused necrosis. 展开更多
关键词 Cestrum parqui TUNEL DNA fragmentation SPERMICIDE male contraceptive
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α1A肾上腺素受体阻滞剂坦洛新在男性节育中的研究 被引量:1
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作者 刘运兴 《泰山医学院学报》 CAS 2016年第3期273-276,共4页
目的探讨α1A肾上腺素受体阻滞剂坦洛新在男性节育中的有效性和安全性。方法 80名受试者随机分为2组(A组和B组),按依次交叉的方式给予安慰剂和坦洛新(单次口服剂量为0.4 mg或0.8 mg),每次给药之间有7天的间歇期。每次给药后4~6小时... 目的探讨α1A肾上腺素受体阻滞剂坦洛新在男性节育中的有效性和安全性。方法 80名受试者随机分为2组(A组和B组),按依次交叉的方式给予安慰剂和坦洛新(单次口服剂量为0.4 mg或0.8 mg),每次给药之间有7天的间歇期。每次给药后4~6小时,评估每个受试者的射精情况,同时记录性欲和坦洛新的不良反应。结果服用0.8 mg坦洛新后,所有受试者均发生了不射精症;服用0.4 mg的坦洛新后,有功能的精子密度及有功能的精子总数显著减少,未出现明显的不良反应,服药前后及不同剂量各研究组均未出现性欲、性高潮的减退。结论α1A肾上腺素受体阻滞剂坦洛新有男性抗生育的效果,可作为安全、有效、可逆的男性节育药。 展开更多
关键词 α1A肾上腺素受体阻滞剂 坦洛新 男性节育
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低剂量棉酚抗生育效果及其副作用的临床观察 被引量:1
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作者 王蔼为 刘国振 +1 位作者 李宝寅 吴伟成 《中国男科学杂志》 CAS CSCD 1990年第1期6-10,59,共6页
精子活力及穿卵功能是比精子计数更有意义的检测指标。以这些检查为标准将以往棉酚给药量减少40%抗生育效果仍然可靠,同时还可避免低血钾等毒副反应的出现。减量60%抗生育效果不满意。
关键词 棉酚 男用避孕药 低血钾 精子功能
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睾丸内白膜下注射法,一种雄性节育药的初筛模型
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作者 许烨 王薏 +2 位作者 张珠涛 林宁 钱绍祯 《药学学报》 CAS CSCD 北大核心 1993年第9期647-650,共4页
探索了一种简易男性节育药的筛选方法,将少量样品注射到大鼠睾丸白膜下,共2次,于第3周末解剖大鼠,作附睾精子、睾丸和附睾组织学检查。该法比WHO制订的MB-50分析法简单、省时、用药量少。药物注入后可在睾丸内进行部分代谢,因此,具有抗... 探索了一种简易男性节育药的筛选方法,将少量样品注射到大鼠睾丸白膜下,共2次,于第3周末解剖大鼠,作附睾精子、睾丸和附睾组织学检查。该法比WHO制订的MB-50分析法简单、省时、用药量少。药物注入后可在睾丸内进行部分代谢,因此,具有抗生育活性的代谢产物也能得到阳性结果。共筛选了近200个样品,并与MB-50比较,结果基本一致,仅出现个别假阳性并无假阴性,因此可以作为初筛方法。 展开更多
关键词 男性 避孕药 棉酚 雷公藤
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庚酸睾酮导致精子缺乏的临床避孕效果研究
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作者 李国柱 王恭肃 +6 位作者 林德刚 付成善 徐辉 缪仲瑞 曾福祥 黄强 邹平 《男性学杂志》 CSCD 1992年第1期11-14,共4页
本研究初步探讨了庚酸睾酮(TE)对男性的抗生育作用。从1987年10月至1990年8月进行了30例庚酸睾酮导致精子发生的临床避孕效果研究。结果表明:精子消失率为90%(27/30);284个有效观察月(夫妇双方未用任何避孕措施)无妊娠发生;精子消失平... 本研究初步探讨了庚酸睾酮(TE)对男性的抗生育作用。从1987年10月至1990年8月进行了30例庚酸睾酮导致精子发生的临床避孕效果研究。结果表明:精子消失率为90%(27/30);284个有效观察月(夫妇双方未用任何避孕措施)无妊娠发生;精子消失平均为12.8用;停药后平均21.8周精子恢复正常。研究表明:庚酸睾酮很有希塑成为一种男用避孕药。 展开更多
关键词 庚酸睾酮 精子缺乏 男性节育
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不同剂量昆明山海棠对雄大鼠生殖系统的形态学研究
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作者 王薏 王士民 +2 位作者 于宁妮 林宁 钱绍祯 《中国男科学杂志》 CAS CSCD 1990年第3期152-156,共5页
雄性SD大鼠60只,随机分成6组,二组对照,其余4组用昆明山海棠稀醇提取物(ATH)灌胃给药,每日分别为2.0g/kg;1.0g/kg;及0.3g/kg(二组),每周六次。用药6周至完全不育后剖杀用药的前三组及一组对照。取睾丸、附睾、心、肝、脾、肺、肾、胃,... 雄性SD大鼠60只,随机分成6组,二组对照,其余4组用昆明山海棠稀醇提取物(ATH)灌胃给药,每日分别为2.0g/kg;1.0g/kg;及0.3g/kg(二组),每周六次。用药6周至完全不育后剖杀用药的前三组及一组对照。取睾丸、附睾、心、肝、脾、肺、肾、胃,行常规HE及PAS+苏木素染色,部分鼠做DNA、RNA组化反应。取附睾尾评价精子数据。0.3g/kg组及另一组对照继续以每日0.2g/kg的维持量灌胃16周以保持不育,停药5周后证实其生育力恢复后剖杀,观察指标同前。结果表明:2.0g/kg组曲细精管平均损伤率为55.4%,1.0g/kg组曲细精管损伤明显少于前组(损伤率6.2%),小剂量鼠无论给药6周或22周睾丸和附睾形态与对照无异。结果提示:大鼠睾丸曲细精管的损伤范围和损伤的程度与ATH的剂量大小有关,而与作用时间的长短关系不大。最低抗生育剂量时,对ATH最敏感的部位是变态期精子细胞及附睾精子,以此剂量长期给药对睾丸附睾无明显影响,所致不育可以恢复。 展开更多
关键词 昆明山海棠 雄性节育 精子细胞
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应用人精子金黄地鼠卵穿透试验及精子乳酸脱氢酶—C^4测定评价低剂量棉酚抗生育作用的可逆性
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作者 王蔼为 刘国振 +3 位作者 李宝寅 章静波 卢清显 袁菊 《中国男科学杂志》 CAS CSCD 1990年第3期139-142,共4页
适当减少棉酚服药量不仅可缓解毒副反应,抗生育可逆性也得以改善。6名服药者停药一年精子计数、活动率及穿卵率全部恢复正常水平。精子LDH-C_4与对照未见明显差异。
关键词 棉酚 男用避孕药 精子—卵相互作用 LDH-C4活性
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云南地区男性避孕针可接受性研究
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作者 吴亚平 彭林 速存梅 《云南医药》 CAS 2007年第6期601-603,共3页
目的探讨十一酸睾酮酯男性避孕针在云南地区的可接受性。方法对注射男性避孕针对象及妻子、管理服务人员等进行问卷调查、访谈调查和心理测试。结果多数使用者是因为女方身体不好、不适合放环而采用男性避孕针;打针后约29%的人自觉身体... 目的探讨十一酸睾酮酯男性避孕针在云南地区的可接受性。方法对注射男性避孕针对象及妻子、管理服务人员等进行问卷调查、访谈调查和心理测试。结果多数使用者是因为女方身体不好、不适合放环而采用男性避孕针;打针后约29%的人自觉身体无变化,26.2%的人感觉较好,部分人反应打针时性欲增强,停针时性欲减弱;使用者认为打针比安全套方便,比男性结扎容易接受,还有人认为注射部位疼痛和使用不方便(需每月打针1次有点麻烦),部分人对长期使用药物的安全和使用价格比较关心。心理测试注射者和未注射者的抑郁和焦虑状况无明显差异(P>0.05)。结论十一酸睾酮酯避孕针作为一种男性避孕方法,可供育龄夫妇知情选择,有利促进男性参与计划生育。对该方法的长期使用安全性、满意程度和服务提供的有关问题还需作进一步研究。 展开更多
关键词 男性避孕 十一酸睾酮酯 可接受性
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草药92-1杀精作用的动物实验研究
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作者 刘曼媛 文进凡 《中国现代医学杂志》 CAS CSCD 1996年第8期9-11,80-81,共5页
经数年筛选,作者发现一种高效无毒的男性避孕新药,暂命名“草药92-1”。动物实验结果表明:草药92-1有显著杀精作用,家兔服药两周后其精液中精子密度为1.67亿/ml,是服药前的1/3,精子活率降低50%;服药7周后... 经数年筛选,作者发现一种高效无毒的男性避孕新药,暂命名“草药92-1”。动物实验结果表明:草药92-1有显著杀精作用,家兔服药两周后其精液中精子密度为1.67亿/ml,是服药前的1/3,精子活率降低50%;服药7周后,精子密度继续下降为0.13亿/ml.仅为服药前的1/36。动物服药10周后,取肝、肾、主丸、附睾组织光镜观察,均未发现病理变化,且对性欲和健康也无不良影响。因此.草药92-1可望作为一种高效、无毒的男性避孕药的新药源。 展开更多
关键词 草药 杀精 男性避孕药
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Low dose gossypol for male contraception 被引量:8
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作者 Zhi-PingGU Bai-YongMAO +6 位作者 Yi-XinWANG Ren-AnZHANG Yong-ZhiTAN Zheng-XingCHEN LinCAO Gen-DiYOU S.J.Segal 《Asian Journal of Andrology》 SCIE CAS CSCD 2000年第4期283-287,共5页
Aim: To ascertain whether the side effects of gossypol, hypokalemia and irreversibility, could be avoided on dose re-duction. Methods: Seventy-seven male volunteers were divided into 3 groups: control (22 cases), 10 m... Aim: To ascertain whether the side effects of gossypol, hypokalemia and irreversibility, could be avoided on dose re-duction. Methods: Seventy-seven male volunteers were divided into 3 groups: control (22 cases), 10 mg gossypol(29 cases) and 12.5 mg (26 cases). Serum levels of testosterone, FSH and LH were measured by RIA and potassiumby flame photometry. Spema counts and motility were examined before and regularly after treatment for the evaluationof contraceptive efficacy. Results: The average sperm density and motility started to decrease significantly by theend of month 2 of medication and gradually reached the infertility levels ( < 4 million /mL) in both treated groups. Af-ter that the 10 mg group was asked to take the same dose every other day for up to a total observation period of 16-18months for the maintenance of infertility. Subjects in the 12.5 mg group did not take gossypol any more so as to ob-serve the length of the loading dose required, but in a few, a maintenance dose of 12.5 mg every other day was insti-tuted for a few more months. In both treated groups, none of the spouses was pregnant during the maintenance dose pe-riod. Serum levels of potassium, FSH, LH and testosterone were not significantly changed and not a single volunteercomplained of myoasthenia. After cessation of drug administratioin, the semen data returned to pretreatment levels.Conclusion: A regimen with 10 or 12.5 mg of gossypol as the daily loading dose and 35 or 43.75 mg as the week-ly maintenance dose could induce infertility in male volunteers without developing hypokalemia or irreversibility.(Asian J Androl 2000 Dec; 2: 283-287) 展开更多
关键词 GOSSYPOL male contraceptive agents LH FSH TESTOSTERONE serum potassium
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Differences in reproductive endocrinology between Asian men and Caucasian men——a literature review 被引量:4
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作者 M.E.vanHouten LouisJ.G.Gooren 《Asian Journal of Andrology》 SCIE CAS CSCD 2000年第1期13-20,共8页
This review provides an overview of the literature on aspects of reproductive endocrinology wherein Asian menmay differ from Caucasian, notably, prostatic nioplasm and the sensivity to pharmacological regimens of male... This review provides an overview of the literature on aspects of reproductive endocrinology wherein Asian menmay differ from Caucasian, notably, prostatic nioplasm and the sensivity to pharmacological regimens of male contra-ception. Both genetic and environmental factors, such as nutrition, might be relevant. Asian men residing in Asia seemto be relatively protected from clinical prostatic nioplasm while the prevalence of preclinical prostatic nioplasm is notdifferent. Migration to an area with a higher prevalence reduces this difference but does not undo it. With regard toprostatic nioplasm the following factors have been considered as relevant in Asian men: 1) a reduction in 5α-reductaselevel, 2) decreased levels of androgenic ketosteroid precursors of 5α-reduced androgen metabolites, 3) the decreasedpresence of a P53 mutation, 4) a higher CAG-repeat length of the androgen receptor, 5) a possible higher level ofphysical activity, 6) differences in sexual activity. Furthermore, Asian men respond to a higher degree with azoosper-mia in response to contraceptive steroids. Possible explanations offered for the more pronounced response to contracep-tive steroids are: 1) differences in testicular structure and decreased spermatogenic potential, 2) an earlier and moremarked suppression in LH secretion by exogenous androgens. The differences may be due to genetical and/or environ-mental factors influencing the peripheral testosterone metabolism. Dietary factors such as the higher intake of phytoe-strogens in Asians might exert effects on 5α-reductase activity and/or on sex hormone binding globulin (SHBG) levels,thus having an impact on the biological efficay of circulating androgens. ( Asian J Androl 2000; 2: 13 - 20) 展开更多
关键词 ETHNOLOGY Asian men Caucasian men prostatic neoplasms ENDOCRINOLOGY male contraceptive agents ANDROGEN
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Male contraception:prospects for the new millennium
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作者 W.M.Hair F.C.W.Wu 《Asian Journal of Andrology》 SCIE CAS CSCD 2000年第1期3-12,共10页
Effective regulation of human fertility has global consequences in terms of resource depletion, pollution and pover-ty. Current family planning services predominantly target a female clientele with few significant dev... Effective regulation of human fertility has global consequences in terms of resource depletion, pollution and pover-ty. Current family planning services predominantly target a female clientele with few significant developments in malefertility regulation for over a century. The last two decades have witnessed a gathering interest, initially from the scien-tific community, and laterally from industry, in the development of safe, reliable, reversible methods of contraceptionfor men. This review summarises the methods of male fertility regulation which are currently available and critically ex-amines the published data on novel developments in male hormonal contraception which offer the potential of improvedcontraceptive choice for all in new millennium. (Asian J Androl 2000; 2: 3 - 12) 展开更多
关键词 contraceptION male contraceptive agents male contraceptive devices GONADOTROPINS TESTOSTERONE ANDROGEN
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Hormonal contraception for human males:prospects 被引量:2
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作者 P.R.K.Reddy 《Asian Journal of Andrology》 SCIE CAS CSCD 2000年第1期46-50,共5页
Development of an ideal hormonal contraceptive for man has been the goal of several research workers during thepast few decades. Suppression of pituitary gonadotropic hormones, which in turn would inhibit spermatogene... Development of an ideal hormonal contraceptive for man has been the goal of several research workers during thepast few decades. Suppression of pituitary gonadotropic hormones, which in turn would inhibit spermatogenesis whilemaintaining normal libido and potentia has been the approach for a contraceptive agent. Intramuscularly administeredand orally active testosterone or testosterone in combination with progesterone have been shown to cause inhibition ofspermatogenesis resulting in azoospermia in normal men. Similarly testosterone has been used in combination with go-nadotropin releasing hormone antagonists and agonists to inhibit pituitary gonadotropic hormone release. Immunologicalapproach to neutralize the circulating levels of follicle stimulating hormone has also been shown to cause inhibition ofspermatogenesis. The available literature shows that testosterone causes reversible azoospermia without any significantside effects in Asian population effectively and appears to be a promising chemical for control of fertility in man. 展开更多
关键词 TESTOSTERONE PROGESTERONE male contraceptive agents GONADORELIN SPERMATOGENESIS spermatogensis-blocking agents
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Expression and Bioinformatics Analysis of SPACA4 in Human and Mice
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作者 Ai-fa TANG Zhen-dong YU +5 位作者 Yao-ting GUI Xin GUO Xian-xin LI Wei-xiang LIU Hui ZHU Zhi-ming CAI 《Journal of Reproduction and Contraception》 CAS 2008年第1期9-15,共7页
Objective To analyze the expression of SPACA4 in human and mice. Methods Testes cRNA samples from Balb/c mice of different postnatal days were performed with mouse affymetrix chip to screen the expression of SPACA4 in... Objective To analyze the expression of SPACA4 in human and mice. Methods Testes cRNA samples from Balb/c mice of different postnatal days were performed with mouse affymetrix chip to screen the expression of SPACA4 in mice. Sub-quantitative RT-PCR and bioinformatic tools were used here to describe the expression profile of SPACA4 in mice and human. Results The results of gene chip analysis indicated that the expression of mSPACA4 began after d 35 of postnatal testis in mice. Sub-quantitative RT-PCR assay showed that SPACA4 gene expressed exclusively in mouse and human testis, and mouse mSPACA4 gene expressed after d 35 of postnatal testis that was consistency with the results of gene chip analysis. By bioinformatics analysis, mSPACA4 is located in cell membrane (34.8%) or plasma membrane (34.8%), the signal peptide cleavage site between position 19 and 20 amino acids, transmembrane region between 2-20 and 101-126 amino acids, respectively, on mSPACA4 protein. Conclusion mSPACA4 and hSPACA4 were testis-specific genes, and the expression of mSPACA4 begins after d 35 of postnatal testis in mice. SPACA4 is a candidate for targeting in a sperm-based contraceptive vaccine. 展开更多
关键词 gene chips SPACA4 gene SPERMATOGENESIS male contraceptive vaccine
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Non-invasive reversal of intraluminal vas deferens polymer injection-induced azoospermia——technology
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作者 Sujoy K.Guha 《Asian Journal of Andrology》 SCIE CAS CSCD 1999年第3期131-134,共4页
Aim: The rationale and technique underlying a novel concept of non-invasive removal of an intravasal vas deferens poly-meric contraceptive drug to reverse drag injection-induced azoospermia are explained. Thus the con... Aim: The rationale and technique underlying a novel concept of non-invasive removal of an intravasal vas deferens poly-meric contraceptive drug to reverse drag injection-induced azoospermia are explained. Thus the conventional methods ofsurgical exploration to remove vas deferens plugs and intravasal injection of solvents to flush out contraceptive drugs are tobe replaced by steps which will be readily accepted by subjects. Methods: The approach is based upon the non-invasiveapplication of specific forces to various segments of the vas deferens so that non-sclerosing and non-tissue-adherent com-pounds, in particular styrene maleic anhydride (SMA) can be expelled. Forces are generated by palpation; percuta-neous electrical stimulation; vibration application; and percussion. The forces help to propel the intravasal polymer to-wards the ejaculatory duct for expulsion during ejaculation. All aspects of the total technique are clinically acceptable,simple, atraumatic, unlikely to cause pain and discomfort even without tranquilizers, local or general anaesthetics. Theprocedure may be repeated several times in different sittings spaced apart by about one week to achieve adequate plug ex-pulsion. Results: Model experiments demonstrated the feasibility of the concept. The polymer was nonadherent andcould be moved within the vas deferens by the application of specific forces. Sufficient removal was possible to enablespermatic fluid to be transported along a region previously occupied by the polymer. A corroborating subhuman primatestudy by an independent investigator has shown that the semen profile becomes normal following the reversal. Conclu-sion: Adoption of the new technique may provide a means of non surgical restoration of normal semen profile after a pe-riod of fertility control obtained by intravasal drag injection. (Asian J Androl 1999 Sep ; 1: 131 - 134) 展开更多
关键词 vas deferens male contraceptive agents maleic anhydrides sterilization reversal PALPATION electric stimulation
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11酸睾酮男性激素类避孕针可接受性研究
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作者 张立英 刘云嵘 《中国计划生育学杂志》 2001年第1期24-29,共6页
1997年~1999年期间开展了一项由六个研究中心参加的十一酸睾酮男性激素类避孕针的临床多中心避孕效果评价的研究。同期也开展了该方法的可接受性研究。对参加临床效果研究的308名男性志愿者分别于注射避孕针前、注射避孕针后的4个月、... 1997年~1999年期间开展了一项由六个研究中心参加的十一酸睾酮男性激素类避孕针的临床多中心避孕效果评价的研究。同期也开展了该方法的可接受性研究。对参加临床效果研究的308名男性志愿者分别于注射避孕针前、注射避孕针后的4个月、8个月、停止注射避孕针后和研究期间退出时进行随访调查,并对受试者的妻子进行的调查。同时,还组织受试者及其妻子、使用其它男性避孕方法的男性以及妻子使用女性避孕方法的男性进行了24组小组专题讨论会。对服务提供者、政策制定者、男性学专家等进行了54次个人深入访谈。定性资料和定量资料综合显示,受试者参与临床试验研究的动机不尽相同,多半参加者是因为女方使用避孕方法有严重副反应,半数因不愿意绝育。大多数受试者觉得该方法可以减轻妻子因避孕而导致的负担。认为打针的方法比绝育术好是由于它有可恢复性。部分受试对象觉得打针后体力增强。有的性功能增强。大多数访谈对象反映近期副反应不大。部分出现痤疮。个别受试对象反映睾丸“变小变软”,身体乏力。注射部位疼痛和使用不方便(每月打针一次大频繁,需查精液,注射药物起效前仍要使用避孕方法,要到门诊注射等)影响其可接受性。农民在农忙时也会很容易忘记去注射。他们希望半年或一年打一针更好。部分人。 展开更多
关键词 11酸睾酮 男性避孕 可接受性
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草药雷公藤中的雄性抗生育有效成分 被引量:12
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作者 张建伟 许烨 钱绍祯 《实用男科杂志》 CSCD 1996年第2期81-84,共4页
经雄性大鼠抗生育试验证明,无毒性剂量的雷公藤提取物可导致不育,停药后恢复;临床试用1/3~1/4常规量的雷公藤提取物可使男病人不育。进行了植化分离和动物筛选,获得了6个雄性抗生育有效环氧二萜类化合物:雷藤甲素、雷藤乙... 经雄性大鼠抗生育试验证明,无毒性剂量的雷公藤提取物可导致不育,停药后恢复;临床试用1/3~1/4常规量的雷公藤提取物可使男病人不育。进行了植化分离和动物筛选,获得了6个雄性抗生育有效环氧二萜类化合物:雷藤甲素、雷藤乙素、雷醇内酯、雷藤氯内酯醇,16-羟雷藤甲素以及T7/T19,均鉴定了结构。它们的结构和作用均类似,因而估计为某母物质的植物代谢产物。对雷藤氯内酯醇进行了较深入的研究,表明其作用部位为晚期精子细胞及附睾精子。几个化合物的不良反应主要是大剂量(5.5~11.5倍抗生育有效量)时有一定的免疫抑制作用。优选对免疫影响最小的化合物及寻找更佳的类似物,为今后研究的重点。 展开更多
关键词 中药化学 雷公藤 雄性抗生育 有效成分
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