Male Infertility

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Male Infertility

While there is a common assumption that infertility in a couple is solely a female-partner issue, the reality is that infertility affects both men and women equally.

Our clinic offers comprehensive options for Men facing infertility.  If you are interested in assessing your fertility,  book an appointment to schedule a Semen Analysis today.

  • Testicular Sperm Aspiration (TESA)
  • Percutaneous Epididymal Sperm Aspiration (PESA)
  • Microsurgical testicular sperm extraction (microTESE)
  • Semen analysis
  • Testicular Mapping
  • Varicocelectomy
  • Vasectomy Reversal

 

Testicular Sperm Aspiration (TESA) – A procedure in which a sample of sperm cells and tissue are removed from the testicle through a small needle attached to a syringe. The sperm is separated from the tissue and looked at under a microscope in the laboratory. It may then be used right away to fertilize eggs or frozen for future infertility treatment.

Testicular sperm aspiration may be useful for men who have fertility problems caused by a blockage that keeps sperm from being ejaculated. This could be caused by previous vasectomy, certain genetic conditions, ejaculation problems, infection, or other conditions. It may also be useful for men who want to have children after having treatment that may cause infertility, such as certain cancer treatments. Testicular sperm aspiration is a type of sperm retrieval method. Also called TESA.

Percutaneous Epididymal Sperm Aspiration (PESA)– A procedure in which a sample of sperm cells is removed from the epididymis through a small needle attached to a syringe. The epididymis is a narrow, tightly-coiled tube that is attached to each of the testicles and is where sperm cells mature and are stored. The sperm is looked at under a microscope in a laboratory, where it may be used right away to fertilize eggs or frozen for future infertility treatment.

Percutaneous epididymal sperm aspiration may be useful for men who have fertility problems caused by a blockage that keeps sperm from being ejaculated. This could be caused by previous vasectomy, certain genetic conditions, infection, or other conditions. It may also be useful for men who want to have children after having treatment that may cause infertility, such as certain cancer treatments. Percutaneous epididymal sperm aspiration is a type of sperm retrieval method.

Microsurgical testicular sperm extraction (microTESE) – A surgical procedure used to retrieve sperm from the seminiferous tubules of a male’s testes. It’s used for men with non-obstructive azoospermia, which is when a man cannot produce enough sperm to have a detectable amount in his semen — a common cause of male infertility. Doctors will usually recommend microTESE in these cases:

  • If a man has an adequate level of testosterone in his blood after a hormone test and has other exams indicating that his testicles are not making normal amounts of sperm.
  • If a man remains azoospermic even though he has received treatment and his testosterone levels have been normal for at least four months.


Semen analysis
A Semen Analysis is an effective tool to assess a man’s fertility. Fakih IVF Fertility Center offers Semen Analysis in all of our locations. A Semen Analysis evaluates the amount and quality of a man’s semen and sperm to determine male fertility. In order to obtain an accurate result, it is recommended that the analysis be performed after abstaining from sexual activity for two to five days. Semen Analysis assesses:

  • Motility – movement of the sperm
  • Morphology – percentage of sperm with normal shape
  • Count – the number of sperm present in one sample
  • Vitality – ability to live

A Semen Analysis can help clarify if a male reproductive problem is causing infertility and what fertility treatment would be best suited.

Testicular Mapping Testicular Mapping is a minimally invasive procedure during which a fine needle is placed in different areas of the testes to obtain small samples of testicular fluid. The aspirate is fixed on a slide and checked for sperm following the procedure. If sperm is found, a future sperm retrieval will be scheduled during an IVF-ICSI Cycle and will be carried out from the sites where sperm was found during the original mapping.

Varicocelectomy Varicoceles may occur if a malfunction of the valves of the testicular vein causes blood to pool and enlarges the veins within the scrotum, the loose bag of skin that holds the testicles. The pooling of blood affects the circulation in the testes, changing the temperature and affecting the microenvironment of the testes. As a result, decreased sperm count, decreased motility and poor morphology may occur. Approximately 15% of the general population have varicoceles.

Varicocelectomy involves a small microsurgical procedure in which swollen veins are tied off while preserving the normal blood vessels.

Vasectomy Reversal Vasectomy reversal is a microsurgical operation during which the tubes (vas deferens) that were cut during vasectomy are reconnected in order to allow natural conception. The success of the vasectomy reversal is typically dependent on the amount of time that has passed since the vasectomy.

If you have previously undergone a vasectomy and would like to discuss a vasectomy reversal and your chances of success, book an appointment with Burjeel IVF Fertility Center today.

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