Sperm Retrieval Procedure in India
Are you suffering from azoospermia?
Do you wish to have a baby with your own sperms?
Then, Sperm Retrieval will surely help you.
Dr. Hrishikesh Pai, one of the top gynecologists and IVF doctor in India, is the answer to your infertility problems. He is at the forefront of providing exceptional fertility treatments that have changed the lives of countless couples at our IVF center in India.
What is Sperm Retrieval?
Sperm retrieval is a minimally invasive procedure that helps harvest sperm in people suffering from male factor infertility where they have little or no sperm present in the ejaculate.
Around 10% to 15% of infertile men have azoospermia, which means they have no sperm in their ejaculate. This is due to an obstruction in the reproductive tract or issues with sperm production.
Sperm retrieval is effectively used in IVF treatment for couples wanting to conceive with their sperm.
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Who should undergo sperm retrieval?
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Types of sperm retrieval
Depending on thorough examination and semen analysis, Dr. Hrishikesh Pai, one of the leading fertility specialists, will decide the most suitable method of sperm retrieval.
Common procedures of sperm retrieval are:
Testicular Sperm Extraction (TESE)
TESE is a surgical testicular sperm retrieval procedure for men who have no sperm in their ejaculate. It involves a surgical biopsy of the testis.
TESE is used in fertility treatment for men with obstructive and non-obstructive azoospermia. TESE is a minor outpatient procedure performed under general anesthesia.
Sperm retrieved from the testes are used to achieve fertilization of eggs in the laboratory. However, as the numbers of retrieved sperm are often very low, it is essential to combine TESE with ICSI.
If there are more numbers of sperm present, it can be frozen for future use in treatment cycles.
Testicular Sperm Aspiration (TESA)
TESA sperm aspiration is for men having obstructive azoospermia. It is done under local anesthesia by inserting a needle in the testicle and aspirating tissue and fluid.
This tissue is processed in the embryology laboratory, and the extracted sperm cells are used for ICSI.
Percutaneous Epididymal Sperm Aspiration (PESA)
Dr. Hrishikesh Pai is an expert in PESA technique.
PESA is done for the male with obstructive azoospermia under local anesthesia. It does not require a surgical incision.
The fluid is aspirated by inserting a small needle directly into the epididymis through the scrotal skin. The embryologist recovers the sperm cells from the fluid and prepares them for the ICSI procedure.
Microdissection TESE (Micro TESE)
Microdissection testicular sperm extraction is a surgical procedure for men who have no sperm in their ejaculate due to non-obstructive azoospermia.
It is performed in the operation theatre under an advanced operating micro dissecting microscope to identify precise tissue to be removed.
Micro TESE significantly improves sperm retrieval rates and is a safer procedure as less testicular tissue is removed, and it causes minimum damage to the structure inside the testicle.
Bloom IVF is one of the top centers in the world to perform Micro TESE. It has helped many men to have a baby with their sperm, who were previously unsuccessful in getting sperms through TESE at other centers.
Frequently Asked Questions
How is the sperm retrieval procedure decided?
The technique chosen for sperm retrieval depends on:
- Whether it can be done through the skin or requires an incision
- Method of retrieval, whether it is biopsy or aspiration.
- Area from which the tissue is taken – epididymis, testicle, or vas deferens
- Instruments for surgery depends on the type of procedure -microsurgical or conventional
Is the sperm used immediately after retrieval?
What are the side-effects of sperm retrieval procedures?
Possible side-effects are:
- Pain
- Infection
- Bleeding
- Testicular injury
- Chances of not finding sperm
- May need future procedures