Male Fertility

Male Fertility

Although some people still think of fertility as a & woman’s problem, in 20% of infertile couples, the problem is solely with the male partner. Infertility in a man may be the only reason that a couple can’t conceive, or it may simply add to the difficulties caused by infertility in his partner. So, it’s crucial that men get tested for fertility as well as women. It’s also important that men do it early. Though some guys may want to put off being tested — possibly to avoid embarrassment — early testing can spare their partners a great deal of unnecessary discomfort and expense. It’s also a good way to quickly narrow down potential problems. Evaheal helps such couples in analyzing the cause of infertility and getting appropriate treatment for male infertility which includes:

ICSI

Intracytoplasmic sperm injection (ICSI) is very similar to conventional IVF in that gametes (eggs and sperm) are collected from each partner. The difference between the two procedures is the method of achieving fertilization. ICSI refers to the laboratory procedure where a single sperm is picked up with a fine glassneedle and is injected directly into each egg. This is carried out in the laboratory by experienced embryologists using specialist equipment. Very few sperm are required and the ability of the sperm to penetrate the egg is no longer important as this has been assisted by the ICSI technique.

TESA

TESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI. It is done with local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval. A needle is inserted in the testicle and tissue/sperm are aspirated. TESA is performed for men with obstructive azoospermia (s/p vasectomy). Occasionally, TESA doesn’t provide enough tissue/sperm and an open testis biopsy is needed.

Who are the right Candidates for TESA?

Irreversible obstruction of the genital tract.

Irreversible obstruction of the genital tract.

It is also suitable for male partners with primary testicular problems resulting in insufficient sperm production, or non-obstructive azoospermia.

It is particular suitable for those who have underwent vasectomy or have absence of vas deference.

Male partners who don’t have sperm in their semen are the candidates for TESA.

The patients with unsuccessful vasectomy reversal.

PESA

PESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI who have obstructive azoospermia from either a prior vasectomy or infection. It is done with local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval.

Why Call Evaheal for Treatment for Male Infertility?

Evaheal is India’s leading online portal that helps infertile couples to diagnose the exact cause of infertility and to realize their dream of parenthood. It has tied up with some experienced fertility experts from across the world and helps you get the right infertility treatment within your budget. Call now for details.

Who Needs ICSI

From a patient perspective, undergoing an ICSI treatment cycle is exactly the same as a conventional IVF cycle, and the same steps are involved.

Circumstances in which ICSI may be appropriate include:

When the sperm count is very lows

When the sperm cannot move properly or are in other ways abnormal

When sperm has been retrieved surgically from the epididymis (MESA/PESA) or the testes

When there are high levels of antibodies in the semen

(TESE/TESA), from urine or following electro-ejaculation

When there has been a previous fertilization failure using conventional IVF.

MESA

MESA is a procedure performed for men who have vasal or epididymal obstruction (s/p vasectomy, 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 is performed in the operating room with general anesthesia utilizing the operating microscope. Patients usually cryopreserve sperm during this procedure for future IVF/ICSI. MESA allows for an extensive collection of mature sperm as compared to aspiration techniques, and it is the preferred method of retrieval for men with congenital bilateral absence of the vas deferens as it does not impact steroid production of the testis.

Who are the Right Candidates for MESA ?

Candidates for sperm retrieval include men with acquired or congenital reproductive tract obstruction,

Men who elect to undergo sperm retrieval as an alternative to surgical reconstruction.