you want to um if a man decides he's had enough children and doesn't want anymore he can have a vasectomy it's a fairly easy home the same day kind of procedure where they either cauterize cut and cauterize or cut and tie the vas deferens so you don't stop making sperm you keep making sperm they just don't ever leave they're never ejaculated because the two um that allows for that to occur has been cut now generally after getting it done you have to give several sperm samples semen samples before you are um safe to consider yourself infertile because sometimes mistakes are made and it may heal or there could be other other issues where sperm can get into the into the duct now this is reversible um it can be a hundred percent effective and 40 reversible if you're one of and people reverse it because um generally what happens there is a guy is married has kids decides you know they don't want kids anymore any more kids I should say not kids anymore but any more kids and it's easier sometimes for the guy just to have a vasectomy so he does and then something happens and he remarries and either the wife passes away or they get divorced and he remarries and his new wife wants children and so he has to try to get this reversed now the main reason that people cannot reverse it is the development of scar tissue Scar Tissue um will prevent uh the ability of the physician to reverse it that's the main thing um but even if you have expensive Scar Tissue you are still actively producing sperm they can utilize another procedure and use a syringe and go into the testes and physically remove sperm through a syringe and then freeze the sperm and do in vitro fertilization okay so you could still have children of your own it just is going to be expensive and take more time all right um okay now the inguinal Canal is the area through which the testes descend and it makes men more vulnerable when it comes to um hernias inguinal hernias but women can get them too Yours Truly over here I had a double inguinal hernia that I had to get repaired in 2020. um so it's not but in women it tends the older women in men men of any age really um and what happens is part of the intestines protrude down through uh the inguinal canal and they can twist if they do it can become necrotic and then you can end up with peritonitis um and it's not a particularly um it's not an easy um that would say disease a disorder to deal with either it hurts if you've ever had a hernia you know that it's painful and the longer you have it the more painful it gets until you finally go and do something about it but hopefully um it doesn't turn into something a lot worse okay so the seminal vesicles secrete an alkaline viscous fluid that means sort of thick that has fructose prostaglandins and clotting proteins it's alkaline to neutralize acid the fructosis to make ATP the prostaglandins they also help with sperm viability so they contribute to sperm motility viability part of it helps them move through the female reproductive tract and then seminogen is the main protein that causes coagulation of semen after ejaculation so here is the seminal vesicle here's the ampulla here is the ejaculatory duct prostate and the bulb of your refill gland all right so um the prostate produces milky slightly acidic fluid that contains citric acid acid phosphatase and several proteolytic enzymes including TSA pepsinogen we have lysozyme amylase and hyaluronidase and that helps to liquefy the coagulated semen prostatitis is an inflammation of the prostate and um it can it's a wide range in terms of how bad it can be it can be so you don't even notice it or it could be extremely problemsome in terms of uh problematic I guess is a better word in terms of pain when you urinate difficulty urinating urinary frequency things like that so the fluid is slightly acidic it's about 6.5 the prostate sits beneath the urinary bladder um and it enlarges with age the Bobo urethral glands are pear they're tiny tiny little glands about the size of the tea and they produce alkaline mucus and so here you can see those are the Volvo urethral glands and then here is the root remember consists of akura and the bulb so a seminal fluid is a mixture of sperm and accessory sex plant secretions it gives the fluid in which the sperm are transported provides nutrients neutralizes acidity has an antibiotic that's lysozyme seminoplasmin and prostatic enzymes that coagulate and then liquefy semen to Aid its movement through the uterine cervix so like I said it coagulates about five minutes after ejaculation and then about 10 to 20 minutes it re-liquifies and moves up through the cervix from the vagina okay vagina is where we have those immune system cells that might be looking for these guys and it moves into the uterus and then we'll see in the uterus the sperm are going to undergo their final maturation step and um we'll go through this in two weeks I guess when we do the fertilization growth and development so a typical ejaculate is two and a half to five mils in volume normal sperm count is 50 to 150 million per ml um you can have just say you have 100 million sperm um per milliliter but still be considered to be infertile if they don't swim in a forward direction if they just swim around in circles or if they have abnormal shapes those two can also cause you to be considered to be um infertile if your sperm don't swim real well you could still do in Vita