Male Fertility Treatment : Male infertility is any health issue in a man that lowers the chances of his female partner getting pregnant.
About 13 out of 100 couples can’t get pregnant with unprotected sex. There are many causes for infertility in men and women. In over a third of infertility cases, the problem is with the man. This is most often due to problems with his sperm production or with sperm delivery.
Micro TESE : or Microsurgical Sperm Retrieval is the retrieval of sperm from the testicle. Advances in reproductive medicine over the last 10 years have allowed men who were previously considered absolutely sterile to father biological children. Those advances have come on two fronts. The first was the advent of In-Vitro Fertilization (IVF) with Intra-Cytoplasmic Sperm Injection (ICSI). It turns out that men who have no sperm in the ejaculate because of problems with sperm production, a condition called Non-Obstructive Azoospermia (NOA), actually may have small pockets of sperm production within the testicle. In fact, greater than 60% of men with NOA actually do produce small amounts of sperm inside the testicle that can be used with IVF/ICSI to create a baby. In this procedure, an incision is made in the scrotum through which both testicles can be seen. The doctor then conducts a thorough examination of several areas of the testicles to check for any abnormalities and in order to identify the presence of sperm. This procedure is usually conducted only if all other Surgical Sperm Retrieval (SSR) techniques have been unsuccessful.
Percutaneous Epididymal Sperm Aspiration (PESA) : PESA or Percutaneous Epididymal Sperm Aspiration is a Surgical Sperm Retrieval (SSR) procedure where sperm is obtained by gentle suction after a fine needle is inserted into the epididymis, above the testis. PESA is used as part of assisted reproductive treatments for infertility. It can be used for IVF, where the extracted sperm is mixed with the wife’s egg for fertilisation to occur, or it can be used for ICSI, where a single extracted sperm is injected directly into an egg to fertillise it.This procedure is commonly used for patients who have undergone a vasectomy. Percutaneous epididymal sperm aspiration (PESA) is a technique used to determine sperm counts in the event of a possible blockage of the vas deferens. It is an alternative to micro-epidydimal sperm aspiration (MESA), and aims to address the technical difficulty and cost of MESA. This procedure is usually conducted when the ejaculate has no sperm because of an injury, blockage or previous surgery. PESA is usually performed prior to starting an IVF cycle, and the extracted sperm is frozen and stored for use in conjunction with Intracytoplasmic Sperm Injection (ICSI) during the IVF cycle.
TESA/TESE : Some men do not have enough sperm in their ejaculate to succeed with IVF. Fortunately, with the use of ICSI, many of these men will still have the opportunity to proceed with IVF. As long as there are some sperm in the testicle, these sperm can usually be obtained and individually inserted into their partner’s (or donor’s) eggs with Intra Cytoplasmic Sperm Injection (ICSI). If your semen analysis shows that you do not have sperm within your ejaculate, there are different methods of surgically retrieving the sperm, which is sometimes referred to as Surgical Sperm Retrieval (SSR). Testicular Sperm Aspiration (TESA) and Testicular Sperm Extraction (TESE) are both methods of SSR where sperm is retrieved from the tissue in a man’s testis. TESA uses gentle suction through a small needle while TESE involves taking a larger tissue sample from an incision. Both procedures are minor day surgeries and should be done before beginning an IVF cycle.
Sperm banking or freezing : is a method of preserving sperm cells, and is especially useful for men who want to delay parenthood until a later stage. The purpose of cryopreserving semen (sperm banking) is to help ensure the possibility of conception in the future. When choosing a sperm bank, it is important to find a facility that you believe will be in business for many years to come (we have been open since the 1980s) so that you can safely store your sperm long-term. It is also useful for men who plan to undergo certain types of medical treatments (chemotherapy and radiation for instance) that could impact their sperm quality. Sperm may also be frozen as a backup option during a couple’s fertility treatment. Semen is analysed after being collected through ejaculation or surgically assisted retrieval like TESA or TESE, before the sperm cells are frozen in a laboratory. During an Intrauterine Insemination (IUI) or In-Vitro Fertilisation (IVF) procedure, the frozen sperm samples are used.
Doner Sperm : There are a number of reasons explaining the need for donated sperm. These include: Low sperm count in the partner’s semen due to various reasons such as injury, vasectomy or other male infertility factors, cancer treatment, etc. An inherited disease, such as Haemophilia or Duchenne’s Muscular Dystrophy, putting the life of a resulting baby at risk Incompatible blood types, if the female partner is Rhesus (Rh) sensitised and the male partner is Rh positive, the pregnancy is potentially problematic. In the case of donor eggs, while chances of pregnancy are similar to that of conventional IVF, the donor’s age is a key factor that impacts success rates.