Arterial blood flow is the main source of testicular heat in bulls and higher ambient temperatures significantly increase testicular blood flow.

Two experiments were done in bulls to determine: total testicular blood flow, testis oxygenation and heat, and effects of ambient temperature on testicular temperatures and blood flow. In Experiment 1, arterial blood flow to testes and testicular oxygenation and heat were determined in Angus bulls (n = 8). Blood temperature and hemoglobin O2 saturation were both greater (P < 0.0001) in the testicular artery than in the testicular vein (39.2 ±â€¯0.2 vs 36.9 ±â€¯0.4 °C and 95.3 ±â€¯0.7 vs 42.0 ±â€¯5.8%, respectively; mean ±â€¯SEM). Based on testicular blood flow of 12.4 ±â€¯1.1 mL/min and an arterial-venous temperature differential of 2.3 °C, blood contributed 28.3 ±â€¯5.1 cal/min of heat to the testis, whereas heat produced by testicular metabolism was estimated at 5.8 ±â€¯0.8 cal/min (based on O2 consumption of 1.2 ±â€¯0.2 mL/min). In Experiment 2, effects of three ambient temperatures (5, 15 and 35 °C) on testicular blood flow and temperatures were determined in 20 Angus bulls. At 35 versus 5 °C, there was greater testicular blood flow (8.2 ±â€¯0.9 versus 4.9 ±â€¯0.7 mL/min/100 g of testicular tissue, P < 0.05), and higher scrotal subcutaneous and intratesticular temperatures (P < 0.01). In conclusion, arterial blood flow was the main source of testicular heat, testes were close to hypoxia, and increased ambient temperature significantly increased scrotal subcutaneous and intratesticular temperatures, as well as testicular blood flow. These studies gave new insights into scrotal/testicular thermoregulation in bulls; they confirmed that testes are nearly hypoxic, but challenged the long-standing paradigm that testicular blood flow does not increase when testes become warmer.

From Clinical Symptoms to MR Imaging: Diagnostic Steps in Adenomyosis.

Adenomyosis or endometriosis genitalis interna is a frequent benign disease of women in fertile age. It causes symptoms like bleeding disorders and dysmenorrhea and seems to have a negative effect on fertility. Adenomyosis can be part of a complex genital and extragenital endometriosis but also can be found as a solitary uterine disease. While peritoneal endometriosis can be easily diagnosed by laparoscopy with subsequent biopsy, the determination of adenomyosis is difficult. In the following literature review, the diagnostic methods clinical history and symptoms, gynecological examination, 2D and 3D transvaginal ultrasound, MRI, hysteroscopy, and laparoscopy will be discussed step by step in order to evaluate their predictive value in the diagnosis of adenomyosis.