Declining male fertility, Diagnosing urinary tract infections in the elderly, Guide to health websites
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 16 July 2019
⏱️ 28 minutes
🧾️ Download transcript
Summary
Decline in Male Fertility and evidence sperm counts have dropped dramatically over the last 40 years but despite this, research into the understanding of male fertility problems have fallen behind. Two leading specialists in the filed explain the issues. Plus diagnosing Urinary Tract Infections in the Elderly and risks of over treatment leading to antibiotic resistance. And tips from Margaret McCartney and Carl Heneghan on identifying health websites to trust.
Transcript
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| 0:00.0 | Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down. |
| 0:23.0 | And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Rihalina. |
| 0:26.9 | Unexcited. |
| 0:27.6 | You're dead to me. |
| 0:28.5 | The comedy podcast that takes history seriously. |
| 0:30.9 | Listen first on BBC Sounds. |
| 0:34.5 | BBC Sounds. Music, radio podcasts. Hello. Coming up today, why fathering a child might take a bit longer than it used to? |
| 0:44.2 | If you look back to the 1970s and you compare sperm counts with men today, then you'll see |
| 0:49.9 | that sperm counts on average around about half of what they were. |
| 0:52.7 | You hear reference to spermageddon. |
| 0:54.3 | If we carry on at this rate. |
| 0:55.7 | I mean, is there any evidence that they're going to continue to fall? |
| 0:57.8 | If we don't change things, then I think that trend will continue. |
| 1:01.9 | More on sperm counts later, as well as the next instalment of our insider's guide to health websites. |
| 1:08.2 | But first, urinary tract infections or UTIs and concerns that they're being |
| 1:13.2 | over-diagnosed and over-treated in older people. And it's because we've become too dependent |
| 1:18.6 | on urine dipsticks to make the diagnosis. While these work well in younger people, the older |
| 1:24.1 | you get, the less reliable they become. And when faced with an elderly patient |
| 1:28.9 | who's off-color and perhaps more confused and less mobile than normal, dip-sticking the urine to exclude |
| 1:35.2 | a UTI, which can cause all these symptoms and more, has historically often been the first step. |
| 1:41.5 | However, the potential for misdiagnosis has repercussions for everyone. |
| 1:46.7 | Microbiologist, Professor Cleona McNulty, heads the Public Health England Primary Care Unit. |
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