IVF Services

Male Infertility Treatment

A male infertility factor plays a role in at least 40% of infertile couples. For this reason, the male partner and female partner should both be assessed in a fertility evaluation by fertility specialists. Blossom Fertility and IVF Centre - Section of Male Infertility are dedicated to understanding and treating men who are unable to initiate a pregnancy. Common Male Infertility Problems are listed below.

Common Male Infertility Problems:

 

Abnormal Sperm parameters are as follows:

  • Low sperm count – (oligospermia)
  • Poor sperm motility – (asthenospermia)
  • High abnormal forms – ( teratospermia)

Immunological factors: Antisperm antibodies may occur following surgery, trauma or infections of the genital tract. Antisperm antibodies impair sperm motility and their ability to penetrate and fertilise an egg.

To determine if the female partner has problems concerning ovulation, egg transport, fertilization or implantation, various tests may be administered based on the physician’s examination and analysis:

Absence of Sperm -(Azoospermia): May be due to an obstruction at the level of the vas, epididymis, or even the testes, caused by previous infections, trauma or surgery. It may also be due to a bilateral congenital absence of the vas. Azoospermia could also be due to testicular failure caused by hormonal, chromosomal abnormalities, previous infection such as mumps or undescended testes.

Single Sperm: A single sperm consists of a head, which contains the man’s genetic information and its tip, an acrosome which will help the sperm penetrate the outer shell of the egg; a midpiece, which supplies the energy needed for movement; and the tail which propels the sperm forward.

Treatments of Male Infertility

Several exciting treatments for male infertility are now available. We offer a full range of services, including medical evaluation, treatment and surgical procedures. The surgical procedures most commonly performed include:

Surgical Sperm Retrieval: Surgical Sperm Retrieval (PESA / MESA / TESA / TESE)

Epididymal Aspiration: This surgical procedure is indicated for cases of congenital absence of the vas deferens (the long tube through which sperm travel during ejaculation), although some males with a vasectomy or failed (vasovasotomy) are also candidates. This technique allows sperm from the epididymis, a tubular structure attached to testicle that serves as a reservoir where sperm mature and are stored. Because very low numbers of sperm are obtained, it is in conjunction with IVF and intracytoplasmic sperm injection

Percutaneous Epididymal Sperm Aspiration (PESA):

PESA is indicated for men with irreparable obstruction resulting in Azoospermia (lack of or no sperm), congenital absence of the deferens or who have had vasectomies or failed vasectomy reversals. The procedure takes approximately 10 to 20 minutes unlike epididymal aspiration, and does not require a surgical incision. A small needle is passed directly into the head of the epididymis and fluid is aspirated. Next, the IVF laboratory team retrieves the cells from the fluid and prepares them for ICSI because of the amount secured.

Intracytoplasmic Sperm Injection (ICSI) Assisted Microfertilization

Microsurgical fertilization, a form of micromanipulation, can be indicated in case of severe male factor, where conditions such as abnormal sperm movement or low sperm numbers make it impossible for sperms to penetrate and fertilize the egg. One of the methods to assist fertilization is Intracytoplasmic Sperm Injection (ICSI), ICSI involves, the use of very fine instruments to first pick up sperm and then injecting a single sperm directly into the cytoplasm of the egg. The cytoplasm is the area outside the nuclear cell of the oocyte and contains the physical elements of reproduction. ICSI also works for cases of unexplained non-fertilization with conventional IVF.

Testicular Tissue Sperm Extraction (TESE)

Surgical removal of a portion of the testes for patients that are good candidates for PESA because of absence of the vas deferens. In the andrology laboratory, tissue is homogenized (minced) & individual sperm is harvested for ICSI.

For more information on Male Infertility services at Blossom Fertility and IVF Centre, please call on +91 261 2470333 or Email us at info@BlossomBestIVFIndia.com.

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