California Vasectomy
& Reversal Center
& Reversal Center
| Sperm Retrieval |
Sperm Retrieval with IVF/ICSI:
Alternative to Vasectomy Reversal
Alternative to Vasectomy Reversal
An alternative to vasectomy reversal is sperm retrieval with IVF/ICSI 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 advanced
maternal age (>40 years old). In theses cases, In Vitro Fertilization may be required
to get pregnant 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 assisted 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.
When choosing a surgeon for your sperm retrieval, make sure that your surgeon
specializes in all of the various techniques described for sperm retrieval. Some men
will require a simple percutaneous sperm retrieval, whereas others might require the
more sophisticated technique of microdissection TESE. A male infertility specialist
will ensure that an adequate amount of sperm will be procured for multiple cycles if
IVF, if necessary. Dr Karpman is not only a male infertility specialist but also the
co-author of the chapter Techniques of Sperm Retrieval in the 4th edition of
Infertility in the Male, the definitive textbook on male infertility and sperm retrieval
techniques. Dr Karpman will ensure that the optimum number of sperm are retrieved
using the least invasive method for your sperm retrieval.
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 advanced
maternal age (>40 years old). In theses cases, In Vitro Fertilization may be required
to get pregnant 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 assisted 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.
When choosing a surgeon for your sperm retrieval, make sure that your surgeon
specializes in all of the various techniques described for sperm retrieval. Some men
will require a simple percutaneous sperm retrieval, whereas others might require the
more sophisticated technique of microdissection TESE. A male infertility specialist
will ensure that an adequate amount of sperm will be procured for multiple cycles if
IVF, if necessary. Dr Karpman is not only a male infertility specialist but also the
co-author of the chapter Techniques of Sperm Retrieval in the 4th edition of
Infertility in the Male, the definitive textbook on male infertility and sperm retrieval
techniques. Dr Karpman will ensure that the optimum number of sperm are retrieved
using the least invasive method for your sperm retrieval.
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 Aspiration (TESA)
Percutaneous Epididymal Sperm Aspiration (PESA)
Microsurgical Epididymal Sperm Aspiration (MESA)
Microdissection TESE (Micro TESE)
Vasal Sperm Aspiration
Onco TESE (Sperm extraction for cancer patients)
Posthumous Sperm Retrieval
Video demonstrating Microsurgical Epididymal Sperm
Aspiration (MESA) for sperm retrieval with IVF/ICSI
Aspiration (MESA) for sperm retrieval with IVF/ICSI
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