Monday, 20 May 2013

Percutaneous Epididymal Sperm Aspiration

Percutaneous Epididymal Sperm Aspiration

Infertility is a complex problem and there are multiple facets of it. When patients come to me for infertility treatment, most of them do not know that there can be cases of male infertility. It is so common belief that infertility is a female problem and there is no male connection to it. The reality, however, is exactly reverse and statistically one third of the infertility cases are contributed by the male partner.

Treating male infertility is a complex problem in front of us and as an infertility expert I would say it is the most complex problem. Not only because of social issues, but because of physiological issues as well. Treating male infertility is much challenging than the female infertility. Complex testing methods are required to understand the root cause. Inappropriate sperm count; inferior sperm quality and less mobility can be some of the reasons for male infertility.
Percutaneous Epididymis Sperm Aspiration (PESA) is name of the technique used to determine the sperm count in a male. The procedure is very simple where the sperms are collected directly from the epididymis, the part of the testicle where these sperms are stored.

Why there is a need?

I would recommend PESA when:
The man is not able to ejaculate sperms due to the absence of a special tube known as deferens. This tube carries the sperms. The condition is known as azoospermia.
The man has undergone a vasectomy that failed.
There are dysfunctions in the ejaculation process.
The man is having the problem of retrograde ejaculation where the sperms go back to the bladder instead of going out through urethra.
What is the assurance of success?

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