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Male Infertility : Treatments of Male Infertility
Intrauterine Insemination
In Vitro Fertilisation
Intracytoplasmic sperm injection (ICSI)
Donor Sperm Insemination - DI Donor Insemination
Surgical Sperm Retrieval - (SSR)
Rectal-electroejaculation

Intrauterine Insemination - IUI combined with superovulation using washed sperm can be considered in mild abnormalities in sperm parameters or in cases of coital difficulties.

In Vitro Fertilisation - IVF may be used for certain types of male infertility, such as those with slightly reduced sperm counts or anti-sperm antibodies, a form of immune infertility, with IVF relatively fewer motile sperm are required for oocyte fertilisation because the natural transport barriers are bypassed; moreover IVF increases the number of sperms in contact with multiple oocytes from superovulation. However there now exist a number of more specialised options for treating severe male infertility.

Intracytoplasmic sperm injection (ICSI) - This technique involves the use of micromanipulators to inject a single sperm into each egg.  It is used for cases where very few functional sperm are available, for patients who have previously failed to achieve fertilisation with IVF, for patients with known functional sperm defects and for patients who require surgical sperm retrieval.


Intracytoplasmic Sperm Injection (ICSI)

ICSI has revolutionized the treatment of severe male factor problems, especially when the sperm is surgically retrieved.

Donor Sperm Insemination - DI Donor Insemination

Intrauterine insemination with the use of donor sperm may be indicated when the male partner's sperm is severely suboptimal.
This treatment will always be an option in severe cases of male factor infertility, azoospermia or genetically transmitted disease.

Surgical Sperm Retrieval - (SSR)

This is a technique for collecting immature sperm directly from the vas, epididymis or testes. Sperm retrieval may be performed under local anaesthetic, as an out patient procedure, under general anaesthetic or during another operation to repair an obstruction in the vas.
In this case a man has no sperm in his ejaculate, surgical sperm retrieval may be used to extract sperm from various parts of the male reproductive tract, most frequently from the epididymis ( percutaneous epididymal sperm aspiration - 'PESA' ), or directly from the testicles ( testicular sperm aspiration - 'TESA' or testicular sperm extraction - 'TESE' ). These techniques must be used in conjunction with intracytoplasmic sperm injection (ICSI), as sperm retrieved in this way are immature, and are incapable of fertilisation without assistance.


Spermatozoa. 

PESA - Percutancous Epididymal Sperm Aspiration.

TESE - Testicular Sperm Extraction. If sperm are not found, a sample of tissue (testicular biopsy) can be taken from the testes through a small incision, 2 - 3 stitches are placed in the skin which self dissolve in about 10 days. Once the sperm have been collected, fertilisation is achieved using Intracytoplasmic Sperm Injection (ICSI.) This involves injecting a single sperm directly into the egg. Excess sperm from the sample can be cryropreserved for possible future use.

Rectal-electroejaculation

This technique is used to obtain sperm from spinal injured or otherwise impotent men. These sperm can be used for intrauterine insemination, IVF or ICSI, depending on the quality.

 

Medical Services :
Medical Care   |   Treatment Option   |   IVF Treatment   |   Endoscopic Surgery   |   Ay Surgery (Out Patient Surgery)   |   Ovulation Induction   |   Complications Of Assisted Reproduction Treatment   |   Laparoscopy Surgery   |   ICSI treatment   |   Egg Donation   |   Test Tube Baby (IVF)