Approaches for obtaining sperm in patients with male factor infertility

Fertility and Sterility
K Y ChaH J Kim

Abstract

To describe methods of sperm retrieval for intracytoplasmic sperm injection (ICSI) in patients with male factor infertility and to review the clinical results using sperm from the different sources. The literature on sperm-obtaining methods and ICSI was reviewed. Studies related to this topic were identified through MEDLINE. This review describes the evolution of sperm retrieval methods. Sperm can be obtained by microepididymal sperm aspiration (MESA), percutaneous sperm aspiration (PESA), and testicular sperm extraction (TESE), from patients with congenital absence of the vas deferens or acquired vas obstruction. When ICSI is performed with ejaculated, epididymal, or testicular sperm, good fertilization and pregnancy rates are achieved without significant differences among the various sperm sources. The original percutaneous sperm aspiration method has been modified slightly and yields successful results. Viable pregnancies can be achieved with ICSI by using not only ejaculated sperm, but also epididymal and testicular sperm. Microepididymal sperm aspiration, percutaneous sperm aspiration, modified percutaneous sperm aspiration, and testicular sperm extraction can be considered standard procedures to treat male factor infertil...Continue Reading

References

Oct 1, 1991·Current Opinion in Obstetrics & Gynecology·J Mandelbaum
Oct 1, 1988·Lancet·S C NgV H Goh
Dec 1, 1986·Fertility and Sterility·T F KrugerK Smith
Jun 1, 1988·Journal of in Vitro Fertilization and Embryo Transfer : IVF·S TsukuiT Mori
Jun 1, 1988·American Journal of Reproductive Immunology and Microbiology : AJRIM·S MathurH O Williamson
Jun 1, 1988·Fertility and Sterility·G N ClarkeW I Johnston
Jan 1, 1988·Fertility and Sterility·T F KrugerS Oehninger
Feb 1, 1988·Fertility and Sterility·L LalondeG Bleau
Jan 1, 1988·Human Reproduction·J MandelbaumL Tesquier
Sep 1, 1985·Journal of in Vitro Fertilization and Embryo Transfer : IVF·P D Temple-SmithD M de Kretser
May 1, 1974·Journal of Reproduction and Fertility·I Russo, C B Metz
Mar 1, 1984·Fertility and Sterility·V S Krylov, A M Borovikov
Jan 1, 1995·Reproduction, Fertility, and Development·G D PalermoZ Rosenwaks
Jan 1, 1995·Reproduction, Fertility, and Development·M J TuckerC L Sweitzer
Jan 1, 1995·Reproduction, Fertility, and Development·H BourneH W Baker
Jan 1, 1995·Reproduction, Fertility, and Development·R I McLachlanC A Holden
Jan 1, 1995·Reproduction, Fertility, and Development·L HambergerA H Jakobsson
Jan 1, 1995·Reproduction, Fertility, and Development·H TournayeS Silber
Jan 1, 1995·Reproduction, Fertility, and Development·S J SilberA C Van Steirteghem
Sep 28, 1995·Nature·D Butler
Nov 1, 1995·Fertility and Sterility·R T MansourA M Ramzi
Aug 24, 1995·The New England Journal of Medicine·J TesarikJ Testart
Apr 1, 1995·Human Reproduction·M Tsirigotis, I Craft

❮ Previous
Next ❯

Citations

Jun 10, 2004·Journal of Assisted Reproduction and Genetics·Ulrike ZenkePaul J Turek
Feb 13, 2001·International Journal of Urology : Official Journal of the Japanese Urological Association·H HibiM Yamamoto
Jul 1, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Rubina MerchantGautam N Allahbadia
Sep 5, 1998·The Urologic Clinics of North America·P J TurekP R Carroll
Nov 11, 2019·Human Fertility : Journal of the British Fertility Society·Jorge TenRafael Bernabeu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.