| Sperm Retrieval |
| California Vasectomy and Reversal Center |
Sperm Retrieval with IVF/ICSI
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Surgical sperm retrieval with IVF and ICSI is an alternative to vasectpmy reversal in couples who
desire to get pregnant after a vasectomy procedure. This is an ideal choice for couples in whom
there are significant female factor infertility issues such as poly-cystic ovary disease (PCOS), severe
endomtriosis, large uterine fibroids or advanced maternal age (>42 years old). In theses cases, In
Vitro Fertilization may be required regardless of the amount or quality of sperm present in the male
ejaculate and a simpler approach is to remove some sperm from the epididymis or testis and use
this for IVF with ICSI.
Oftentimes, a couple will request sperm retrieval to be performed with Intra Uterine Insemination
(IUI) as this is not very invasive and appears to be the least costly alternative for getting pregnant
after a vasectomy. IUI procedures can ONLY be performed with fully mature sperm from the
ejaculate and the success is highly dependent on having adequate numbers of motile sperm
present (>10 million). Unfortunately, sperm retrieved from the epididymis and testicle is not mature
enough or adequate in quantity to get pregnant with this form of assited reproduction. In fact,
attempts at even performing conventional In Vitro Fertilization with testicular or epididymal sperm
have been met with such poor success that most IVF centers today will only perform the more
sophisticated Intra Cytoplasmic Sperm Injection (ICSI) procedure in cases where epididymal or
testicular sperm is present, as is always the case after a vasectomy.
desire to get pregnant after a vasectomy procedure. This is an ideal choice for couples in whom
there are significant female factor infertility issues such as poly-cystic ovary disease (PCOS), severe
endomtriosis, large uterine fibroids or advanced maternal age (>42 years old). In theses cases, In
Vitro Fertilization may be required regardless of the amount or quality of sperm present in the male
ejaculate and a simpler approach is to remove some sperm from the epididymis or testis and use
this for IVF with ICSI.
Oftentimes, a couple will request sperm retrieval to be performed with Intra Uterine Insemination
(IUI) as this is not very invasive and appears to be the least costly alternative for getting pregnant
after a vasectomy. IUI procedures can ONLY be performed with fully mature sperm from the
ejaculate and the success is highly dependent on having adequate numbers of motile sperm
present (>10 million). Unfortunately, sperm retrieved from the epididymis and testicle is not mature
enough or adequate in quantity to get pregnant with this form of assited reproduction. In fact,
attempts at even performing conventional In Vitro Fertilization with testicular or epididymal sperm
have been met with such poor success that most IVF centers today will only perform the more
sophisticated Intra Cytoplasmic Sperm Injection (ICSI) procedure in cases where epididymal or
testicular sperm is present, as is always the case after a vasectomy.
Sperm Retrieval Techniques
Recommended IVF Centers
Nova IVF
Stanford University IVF Program
Fertility Physicians of Northern California
Palo Alto Medical Foundation IVF Program
Stanford University IVF Program
Fertility Physicians of Northern California
Palo Alto Medical Foundation IVF Program
Testicular Sperm Extraction (TESE)
Testicular Sperm Aspiration (TESA)
Percutaneous Epididymal Sperm Aspiration (PESA)
Microsurgical Epididymal Sperm Aspiration (MESA)
Microdissection TESE
Vasal Sperm Aspiartion
Testicular Sperm Aspiration (TESA)
Percutaneous Epididymal Sperm Aspiration (PESA)
Microsurgical Epididymal Sperm Aspiration (MESA)
Microdissection TESE
Vasal Sperm Aspiartion