Robert I. McLachlan
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View article: The first Australian evidence‐based guidelines on male infertility
The first Australian evidence‐based guidelines on male infertility Open
Introduction Infertility affects about one in six couples and a male factor may contribute to 50% of cases. Until recently, no Australian‐based clinical guidelines for the management of male infertility had been published. A panel of exper…
View article: SAT-181 Audit of spermatogenesis induction in men with hypogonadotropic hypogonadism in clinical andrology practice
SAT-181 Audit of spermatogenesis induction in men with hypogonadotropic hypogonadism in clinical andrology practice Open
Disclosure: Y. Park: None. S. Sarlos: None. R.I. McLachlan: None. I. Sim: None. R. Upreti: None. C.A. Allan: None. Introduction: Infertility affects one-third of couples, with male factors contributing up to 50%. Spermatogenesis induction …
View article: Soluble CD52 mediates immune suppression by human seminal fluid
Soluble CD52 mediates immune suppression by human seminal fluid Open
Seminal fluid provides for the carriage and nutrition of sperm, but also modulates immunity to prevent allo-rejection of sperm by the female. Immune suppression by seminal fluid has been associated with extracellular vesicles, originally t…
View article: 7119 Klinefelter Syndrome in a Tertiary Referral Clinic: A Case Series and Clinical Audit
7119 Klinefelter Syndrome in a Tertiary Referral Clinic: A Case Series and Clinical Audit Open
Disclosure: J. Luo: None. S. Sarlos: None. R. Giri: None. I. Sim: None. R.I. McLachlan: None. C.A. Allan: None. R. Upreti: None. Background: Klinefelter syndrome, the most common chromosomal disorder in men, remains underdiagnosed in many …
View article: 7119 Klinefelter Syndrome in a Tertiary Referral Clinic: A Case Series and Clinical Audit
7119 Klinefelter Syndrome in a Tertiary Referral Clinic: A Case Series and Clinical Audit Open
Disclosure: J. Luo: None. S. Sarlos: None. R. Giri: None. I. Sim: None. R.I. McLachlan: None. C.A. Allan: None. R. Upreti: None. Background: Klinefelter syndrome, the most common chromosomal disorder in men, remains underdiagnosed in many …
View article: Morphology Classification of Live Unstained Human Sperm Using Ensemble Deep Learning
Morphology Classification of Live Unstained Human Sperm Using Ensemble Deep Learning Open
Sperm morphology analysis is crucial in infertility diagnosis and treatment. However, current clinical analytical methods use either chemical stains that render cells unusable for treatment or rely on subjective manual inspection. Here, an…
View article: Undiagnosed RASopathies in infertile men
Undiagnosed RASopathies in infertile men Open
RASopathies are syndromes caused by congenital defects in the Ras/mitogen-activated protein kinase (MAPK) pathway genes, with a population prevalence of 1 in 1,000. Patients are typically identified in childhood based on diverse characteri…
View article: Hyaluronan Sperm Selection during ICSI (HA-ICSI) Increases Embryo Utilization in Couples with Male Factor Infertility
Hyaluronan Sperm Selection during ICSI (HA-ICSI) Increases Embryo Utilization in Couples with Male Factor Infertility Open
Background: Hyaluronan (HA) sperm selection, utilizing the affinity of mature sperm for HA, has emerged as a technique to enhance the selection of sperm for intracytoplasmic sperm injection (ICSI). However, conflicting evidence exists rega…
View article: FRI439 Spermatogenesis Induction For Hypogonadotrophic Hypogonadism In An Australian Tertiary Hospital Andrology Service
FRI439 Spermatogenesis Induction For Hypogonadotrophic Hypogonadism In An Australian Tertiary Hospital Andrology Service Open
Disclosure: S. Sarlos: None. M. Herath: None. I. Sim: None. R. Upreti: None. R.I. McLachlan: None. C.A. Allan: None. Infertility affects 8-12% of couples with male factors contributing to 50% and solely responsible in 20-30% of cases. Male…
View article: FRI434 Long-term Self-reported Outcomes Of Randomized Testosterone (T) vs Placebo (P) Treatment In The T4DM Study
FRI434 Long-term Self-reported Outcomes Of Randomized Testosterone (T) vs Placebo (P) Treatment In The T4DM Study Open
Disclosure: D.J. Handelsman: None. M. Grossmann: None. B.B. Yeap: Consulting Fee; Self; Bayer, Inc., Lawley. Research Investigator; Self; Lawley. B.G. Stuckey: Speaker; Self; Lawley. N. Shankara-Narayana: None. A.J. Conway: None. W. Inder:…
View article: Improved phenotypic classification of male infertility to promote discovery of genetic causes
Improved phenotypic classification of male infertility to promote discovery of genetic causes Open
View article: Lifestyle and environmental risk factors for unexplained male infertility: study protocol for Australian Male Infertility Exposure (AMIE), a case–control study
Lifestyle and environmental risk factors for unexplained male infertility: study protocol for Australian Male Infertility Exposure (AMIE), a case–control study Open
View article: Diverse monogenic subforms of human spermatogenic failure
Diverse monogenic subforms of human spermatogenic failure Open
Non-obstructive azoospermia (NOA) is the most severe form of male infertility and typically incurable. Defining the genetic basis of NOA has proven challenging, and the most advanced classification of NOA subforms is not based on genetics,…
View article: Australian fertility preservation guidelines for people with cancer 2022: review and recommendations
Australian fertility preservation guidelines for people with cancer 2022: review and recommendations Open
Best practice in oncofertility care requires structured referral pathways, with access to fertility preservation counselling and technology Fertility preservation is a rapidly advancing field, and new strategies are continuously being deve…
View article: Standards in semen examination: publishing reproducible and reliable data based on high-quality methodology
Standards in semen examination: publishing reproducible and reliable data based on high-quality methodology Open
Biomedical science is rapidly developing in terms of more transparency, openness and reproducibility of scientific publications. This is even more important for all studies that are based on results from basic semen examination. Recently t…
View article: Diverse Monogenic Subforms of Human Spermatogenic Failure
Diverse Monogenic Subforms of Human Spermatogenic Failure Open
Non-obstructive azoospermia (NOA) is the most severe form of male infertility and typically incurable with current medicine. Due to the biological complexity of sperm production, defining the genetic basis of NOA has proven challenging, an…
View article: Are Clinical Outcomes of Micro-TESE in Non-obstructive Azoospermic Men Affected by the Use of Fresh or Frozen Gametes?
Are Clinical Outcomes of Micro-TESE in Non-obstructive Azoospermic Men Affected by the Use of Fresh or Frozen Gametes? Open
Background: The combination of microsurgical testicular sperm extraction (mTESE) and intracytoplasmic sperm injection (ICSI) has become a common management option, with sperm motility being positively associated with successful outcomes. H…
View article: Recovery of Male Reproductive Endocrine Function Following Prolonged Injectable Testosterone Undecanoate Treatment
Recovery of Male Reproductive Endocrine Function Following Prolonged Injectable Testosterone Undecanoate Treatment Open
Background: Exogenous androgen treatment suppresses the hypothalamo-pituitary testicular (HPT) axis causing reduced serum LH, FSH and testosterone (T). Recovery of male reproductive endocrine function in past androgen abusers takes 9-18 mo…
View article: Exome sequencing reveals variants in known and novel candidate genes for severe sperm motility disorders
Exome sequencing reveals variants in known and novel candidate genes for severe sperm motility disorders Open
STUDY QUESTION What are the causative genetic variants in patients with male infertility due to severe sperm motility disorders? SUMMARY ANSWER We identified high confidence disease-causing variants in multiple genes previously associated …
View article: Lack of evidence for a role of PIWIL1 variants in human male infertility
Lack of evidence for a role of PIWIL1 variants in human male infertility Open
View article: Sperm proteins and cancer‐testis antigens are released by the seminiferous tubules in mice and men
Sperm proteins and cancer‐testis antigens are released by the seminiferous tubules in mice and men Open
Sperm develop from puberty in the seminiferous tubules, inside the blood‐testis barrier to prevent their recognition as “non‐self” by the immune system, and it is widely assumed that human sperm‐specific proteins cannot access the circulat…
View article: Inhibin physiology in the human female
Inhibin physiology in the human female Open
This thesis was scanned from the print manuscript for digital preservation and is copyright the author. Researchers can access this thesis by asking their local university, institution or public library to make a request on their behalf. M…
View article: Covid-19: Spiking a focus on men’s health
Covid-19: Spiking a focus on men’s health Open
View article: Chronic testicular Chlamydia muridarum infection impairs mouse fertility and offspring development†
Chronic testicular Chlamydia muridarum infection impairs mouse fertility and offspring development† Open
With approximately 131 million new genital tract infections occurring each year, Chlamydia is the most common sexually transmitted bacterial pathogen worldwide. Male and female infections occur at similar rates and both cause serious patho…
View article: Variants in <i>PIWIL1</i> Do Not Play a Major Role in Human Male Infertility
Variants in <i>PIWIL1</i> Do Not Play a Major Role in Human Male Infertility Open
View article: Health and fertility of ICSI-conceived young men: study protocol
Health and fertility of ICSI-conceived young men: study protocol Open
STUDY QUESTIONS What are the long-term health and reproductive outcomes for young men conceived using ICSI whose fathers had spermatogenic failure (STF)? Are there epigenetic consequences of ICSI conception? WHAT IS KNOWN ALREADY Currently…
View article: Assisted reproductive technologies are associated with limited epigenetic variation at birth that largely resolves by adulthood
Assisted reproductive technologies are associated with limited epigenetic variation at birth that largely resolves by adulthood Open
View article: Detection of chlamydia infection within human testicular biopsies
Detection of chlamydia infection within human testicular biopsies Open
STUDY QUESTION Can Chlamydia be found in the testes of infertile men? SUMMARY ANSWER Chlamydia can be found in 16.7% of fresh testicular biopsies and 45.3% of fixed testicular biopsies taken from a selection of infertile men. WHAT IS KNOWN…
View article: Recruitment of men to a multi-centre diabetes prevention trial: an evaluation of traditional and online promotional strategies
Recruitment of men to a multi-centre diabetes prevention trial: an evaluation of traditional and online promotional strategies Open
View article: Acute myeloid leukaemia presenting with diabetes insipidus
Acute myeloid leukaemia presenting with diabetes insipidus Open
A 41‐year‐old man was diagnosed with hypogonadotropic hypogonadism managed with gonadotropins after routine fertility review. Eight months later he presented with new polydipsia and polyuria, lethargy and easy bruising. A full blood count …