are many different methods of sperm
extraction. You will be able
to consult with our surgeons in order
to figure out which form suites you best.
is Micro-Epididymal Sperm Aspiration
(MESA) which is a surgical sperm
retrieval procedure used in fertility
treatment for men who have no
sperm in their ejaculate.
care of a consultant urologist,
MESA is a minor theatre procedure
carried out on an outpatient basis
under local anesthesia.
retrieved from the epididymis.
This is the area adjacent to the
testes where sperm are stored
between production and ejaculation.
Sperm extracted in this way can
be used to achieve fertilization
of eggs in the laboratory.
retrieval for azoospermia (PESA/TESE)
is a condition where no sperm
are present in the fluid a man
ejaculates. A man might have azoospermia
Aspiration (PESA) to
obtain small numbers of sperm
directly from the epididymis,
which is the beginning of the
outlet tube from the testicle.
If PESA is unsuccessful, sperm
may be obtained directly from
the testicle using
Sperm Aspiration (TESA) or Testicular
Sperm Extraction (TESE) .
can be done before starting a
treatment cycle or on the day
of the egg collection. The doctor
will discuss with you the reason
for the timing, depending on the
cause of your azoospermia and
whether sperm has previously been
obtained in most cases if it is
being produced in the testicle
but there is an obstruction preventing
the sperm from appearing in the
ejaculate, usually due to previous
surgery, infection or inflammation.
There is about a 25-30% chance
of finding mature sperm, which
is suitable to freeze and use
in treatment, if there has been
a problem with the development
of the sperm producing cells within
the testicles (non obstructive
azoospermia). If we suspect obstructive
azoospermia the procedure is done
under local anaesthetic, which
is medication that 'freezes' the
area so it is pain free. You will
also be given sedation, which
is medication that can relax you
and make you feel sleepy. You
might find the leaflet, Having
an anaesthetic , useful. If you
do not already have this, please
ask us for a copy. Sometimes the
sedation can make you feel sick.
It is therefore very important
that you do not eat or drink for
six hours before PESA or TESA/TESE.
The sedation can also affect your
reasoning, reflexes, judgement,
coordination and skill for 24
hours after the procedure. You
must be accompanied home by another
adult who has not had sedation.
This is particularly important
if your procedure is on the same
day as your partner's egg collection.
For 24 hours after the sedation,
please do not:
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