Treatment for Male Infertility
The usual way of producing sperm for use in ART or Assisted Reproductive Technology is manual stimulation. Surgical methods can be used in cases where medical or religious factors prevent this. Medical reasons that could contribute to an inability to produce sperm through ejaculation include azoospermia, low sperm count, and low sperm motility. The following procedures help retrieve sperm through minor surgical procedures.
(Percutaneous Epididymal Sperm Aspiration)
Percutaneous Epididymal Sperm Aspiration (PESA) is a process for retrieving sperm from the epididymis (a tube that connects a testicle to a vas deferenc in a male reproductive system). One of the advantages of PESA is effective that it can be performed without a surgical cut in the scrotum. It is a simple, quick, cost- technique and can be repeated easily.
TESA / TESE
(Testicular Sperm Aspiration) / (Testicular Sperm Extraction)
In TESA/TESE or in Testicular Sperm Aspiration, a needle is inserted into the testicle, and tissue/sperm is aspirated. It is a procedure performed for men who are having sperm retrieved for IVF/ICSI.
(Micro-Epididymal Sperm Aspiration)
Micro-Epididymal Sperm Aspiration or MESA is performed for men with an epididymal obstruction, vasectomy, or congenital bilateral absence of the vas deferens. It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. MESA allows for an extensive collection of mature sperm compared to aspiration techniques.
(Micro-Testicular Sperm Extraction)
Microsurgical Testicular Sperm Extraction or M-TESE is conducted with the male partner and under general anesthesia. Unlike PESA, a cut is made in the testis to search for the tubules containing sperms. The procedure aims to obtain the best quality sperm, get enough sperm to fertilize an egg from a woman, and reduce damage to the reproductive organs.