Health
Men with spinal cord injuries become fathers thanks to rare fertility treatment at Miami clinic
A spinal cord injury can be life-altering – and the potential for infertility is often a devastating blow as well.
Among men who experience spinal cord injuries (SCIs) in the U.S., nearly eight in 10 have fertility and reproduction issues due to erectile dysfunction or poor sperm quality.
But one clinic in Miami, Florida, is on a mission to help men with SCIs start a family.
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The Miami Project to Cure Paralysis, part of the University of Miami Miller School of Medicine, has aided in the birth of 200 babies since the 1990s.
Fox News Digital spoke with Dr. Emad Ibrahim, director of the Male Fertility Research Program, about how “amazing” this achievement has been.
A patient with a spinal cord injury enters the lab with Dr. Emad Ibrahim at his clinic in Miami, Florida. (The University of Miami)
The doctor said “nothing beats the feeling” of finding out one of his patients is expecting a child.
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“Every time we get an email with an ultrasound picture that shows the baby … it’s a mission accomplished,” he said. “It’s the most gratifying sensation you’ll ever have.”
Ibrahim, an associate professor of urology and neurological surgery at UMiami, said the clinical research program is “very unique” in its quest to help men father their own children through techniques rarely found elsewhere.
New dads Eric Rosemary, left, and Darris Straughter, right, both underwent procedures with the Miami Project under the direction of Dr. Ibrahim, center. (Eric Rosemary; The University of Miami)
While men with erectile dysfunction can be given medication to address this issue, men with ejaculatory dysfunction face a bigger challenge that the Miami clinic addresses through two unique procedures.
The two techniques include penile vibratory stimulation and electroejaculation, both FDA-approved and selected based on the nature of the spinal cord injury.
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The electroejaculation machine activates and contracts the glands responsible for producing sperm. (The machine is also available in Sweden, its only other location besides Miami.)
This method is guaranteed to be successful “almost 100% of the time,” according to Ibrahim.
‘Amazing’ fatherhood
Men from all over the U.S., and even outside the country, have come to seek this treatment — including Darris Straughter, 44, a Miami native.
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Straughter was a victim of gun violence in 2018, he told Fox News Digital in an interview.
While sitting at a traffic light, he was shot eight times. The injuries left him paralyzed from the chest down.
Darris Straughter plays with his daughter, who will turn 2 on Aug. 5, 2024. Straughter was paralyzed by gunfire in 2018. (The University of Miami)
“I don’t feel anything,” he said. “It’s a crazy situation. You just have to roll with the punches and keep moving and try to stay positive.”
Despite the incident, Straughter — who already had one child of his own — was determined to provide children for his wife.
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“I kept saying, ‘She deserves a kid,’” he said. “She was by my side the whole time. So, I was like, ‘I’m going to try any way possible to make it happen.’”
Straughter received treatment from Ibrahim, which ultimately led to his wife’s successful pregnancy. His daughter is now almost 2 years old and is “healthy and strong,” he said.
“[Fatherhood] is amazing. It’s so joyful,” he said. “I just love everything about it.”
“I pray God continues to guide us on a great path,” Straughter, pictured with his wife and daughter, told Fox News Digital. (The University of Miami)
Fellow Florida resident Eric Rosemary, 46, also found success at the Miami facility after a Memorial Day accident 15 years ago left him paralyzed.
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“I was on a boat … in West Palm Beach, and I fell off the boat and shattered my C4, C5, C6 vertebrae and became a quadriplegic,” he said.
Rosemary, who has been married for eight years, told Fox News Digital that he turned to the Miami Project when the timing was right to have kids.
Eric Rosemary of Florida, pictured with his family, said the Miami Project is “leading the way” in helping people with spinal cord injuries adapt. (Eric Rosemary)
Rosemary was previously involved in clinical trials with the project.
He and his wife have since had two sons, born in 2020 and 2023, after three attempts at the first pregnancy and two attempts with the second.
“When you first get injured, there are so many other things you have to worry about,” Rosemary said.
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“In my 30s, I was able to cope with having a spinal cord injury, rebuilding my business, re-building my life, then getting married and having my boys,” he continued. “I was fortunate enough that I had the time to do that.”
As patients who have suffered from an SCI mainly focus on mobility and medical care at first, sexual function is usually “brushed off,” Ibrahim noted.
Darris Straughter, pictured in the background with his daughter, is now a stay-at-home dad. His wife is shown in the foreground. (The University of Miami)
“They rarely talk about fertility,” he said. “And unfortunately, we still have some rehab centers in remote areas in the country that will tell these patients, ‘Forget it. You’re not going to have any children.’”
He added, “If [providers] knew that our program exists, and they could actually refer the patients to us, that would be of great help.”
Ongoing research
As the Miami Project’s procedures have shown excellent results, more research on a potential fertility treatment is underway, Ibrahim revealed.
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The program was awarded a $3.24 million, 40-year grant in July 2023 from the U.S. Department of Defense to conduct a clinical trial to study a drug called Probenecid, which was previously used to treat gout.
Dr. Ibrahim specializes in reproductive and sexual dysfunction in men with spinal cord injuries. He said “nothing beats the feeling” of finding out one of his patients is expecting a child. (The University of Miami)
Through years of research, Ibrahim and his team found that this drug targets the internal issues that some SCI patients experience, he said.
In the pilot study, which included 18 patients with spinal cord injuries, Ibrahim reported that all participants saw improved sperm quality.
“The medication is safe, and we have the publication to support that it works,” he said.
The larger clinical trial is currently ongoing as the Miami Project is in search of new volunteers.
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Health
Lurking dementia risk exposed by breakthrough test 25 years before symptoms
Study finds link between obesity and vascular dementia
Fox News senior medical analyst Dr. Marc Siegel joins ‘America’s Newsroom’ to discuss an increase in colon cancer in people under 50 despite an overall lowering cancer deaths and a new study linking obesity to vascular dementia.
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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.
That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.
The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release.
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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.
After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia.
A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)
Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.
“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital.
“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”
“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.
This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.
A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)
“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.
This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.
The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.
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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release.
“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)
“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”
Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted.
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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms.
Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.
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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”
Health
Key fitness measure is strong predictor of longevity after certain age, study finds
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For women over 60, muscle strength plays a critical role in longevity, a new study confirms.
Researchers at the University at Buffalo, New York, followed more than 5,000 women between the ages of 63 and 99, finding that those with greater muscle strength had a significantly lower risk of death over an eight-year period.
The findings were published in JAMA Network Open.
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Muscle function was measured using grip strength and how quickly participants could complete five unassisted sit-to-stand chair raises.
These are two tests commonly used in clinical settings to evaluate muscle function in older adults, the researchers noted.
A recent study shows that stronger muscle strength in women over 60 is linked to a lower risk of death over eight years. (iStock)
“In a community cohort of ambulatory older women, muscular strength was associated with significantly lower mortality rates, even when we accounted for usual physical activity and sedentary time measured using a wearable monitor, gait speed and blood C-reactive protein levels,” study lead author Michael LaMonte, research professor of epidemiology and environmental health at the University at Buffalo, told Fox News Digital.
“Movement is the key — just move more and sit less.”
Many earlier studies did not include those objective measurements, making it difficult to determine whether muscle strength itself was linked to longevity, according to LaMonte. “Our study was able to better isolate the association between strength and death in later life,” he added.
Even for women who don’t get the recommended amount of aerobic physical activity, which is at least 150 minutes per week, muscle strength remained important for longevity, the researchers found.
Women with greater muscle strength were more likely to live longer, even if they did not meet the recommended amount of aerobic exercise. (iStock)
“The findings of lower mortality in those who had higher strength but were not meeting current national guidelines on aerobic activity were somewhat intriguing,” LaMonte said.
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Federal guidelines recommend strengthening activities one to two days per week, targeting major muscle groups.
Resistance training does not have to require a gym membership, LaMonte noted. These exercises can be performed using free weights, resistance bands, bodyweight movements or even household items, such as soup cans.
Experts recommend working major muscle groups one or two days a week using weights, bands or bodyweight exercises. (iStock)
“Movement is the key — just move more and sit less,” he said. “When we can no longer get out of the chair and move around, we are in trouble.”
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LaMonte acknowledged several limitations of the study. The researchers assessed muscle strength in older age but did not explore how earlier levels in adulthood might influence long-term health outcomes.
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“We were not able to understand how strength and mortality relate in younger ages,” he said, noting that future research should explore whether building strength earlier could have an even greater impact on longevity.
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