SCHEDULE OF EJACULATIONS: Welliver et. all showed in a small study that generally a short period of abstinence (1-2 days) followed by daily copulation around ovlulation (1).
CRYOPRESERVATION is cost effective in patients undergoing active surveillance or retroperitoneal LN dissection if storage time <6yrs or microTESE cost >$7000. Cryopreservation also cost effective if prior to chemotherapy if microTESE <$7000. Average costs in 2017 were $745 for first year of cryopreservation and $343 for each additional year. 2017 IVF avg cost $15,918 and ICSI $17,544. Cryopreservation gave higher pregnancy rates than non-cryopreservation. As of 2017, the only state that mandates covering cost of cryopreservation for cancer patients is Rhode Island. (2)
VARICOCELECTOMY - See varicocele.
- Welliver, Charles, et al. "Analysis of semen parameters during 2 weeks of daily ejaculation: a first in humans study." Translational andrology and urology 5.5 (2016): 749.
- Gilbert, Kirven, et al. "Fertility preservation for men with testicular cancer: Is sperm cryopreservation cost effective in the era of assisted reproductive technology?." Urologic Oncology: Seminars and Original Investigations. Vol. 36. No. 3. Elsevier, 2018.