Candid Patient Reviews of
Dr. Eric Daiter

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How Can I help You?

Dr Eric Daiter has served Monmouth and Middlesex Counties of New Jersey as an infertility expert for the past 20 years. Dr. Daiter is happy to offer second opinions (at the office or over the telephone) or new patient appointments. It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back).

Availability

"I always try to be available for my patients since I do understand the pain and frustration associated with fertility problems or endometriosis."

Cost

"I understand that the economy is very tough and insurance companies do not cover a lot of the services that might help you. I always try to minimize your out of pocket cost while encouraging the most successful and effective treatments available."

NJ Center for Fertility and Reproductive Medicine - Infertility Tutorials

Abnormal Sperm: Outflow Tract Causes

The outflow tract causes for abnormalities in sperm include

* (1) Congenital absence of the vas deferens (CAVD)

CAVD is an uncommon obstructive post testicular lesion that results in a complete absence of sperm (azoospermia). Most men with CAVD have an intact upper one third to two thirds of the epididymis. This allows normally produced sperm to be collected within this storage depot. CAVD occurs in up to 95% of men with cystic fibrosis (a serious autosomal recessive gene disorder of mucus production that affects several organ systems including the lungs). Up to 50% of men who have only one gene mutation for cystic fibrosis (especially the mutation referred to as the delta 508 mutation) will have CAVD. These men are carriers of the cystic fibrosis trait but do not have clinical cystic fibrosis since this disease requires the presence of 2 gene mutations

* (2) Retrograde ejaculation into the bladder

This can occur if the bladder neck will not close during emission and ejaculation.

An interruption in the sympathetic nerve supply to the pelvic area can result in retrograde ejaculation. This may occur with some medications that affect the nervous system, following radical regional surgery that might damage the nerves like retroperitoneal lymph node dissection for testicular cancer, or with some systemic illnesses that can effect the integrity of these nerves such as diabetes mellitus and multiple sclerosis. Prior reconstructive bladder surgery can also result in retrograde ejaculation. This may occur after Y-V plasty of the bladder neck at the time of reimplantation of the ureters as a child (popular in the 1960s) or TransUrethral Resection of the Prostate ("TURP").

* (3) Epididymitis

Storage of sperm in an infected epididymis can reduce sperm quality. If suspected, daily ejaculation to reduce the storage time can occasionally be useful.

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Eric Daiter, M.D. - Edison, NJ - E-Mail: info@drdaiter.com - Phone: (908)226-0250


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