As recently as a decade ago, treatments for Male Infertility were limited to insemination or IVF using donated sperm. Today, we have a plethora of options to help you overcome your infertility and create a biological child with your partner.
Srushti offers the gamut of treatments to deal with Male Infertility, which could involve medication therapy, surgical procedures and assisted reproductive techniques.
Hormonal imbalances that lead to poor sperm production or poor quality sperm are treated with medication. However, we rarely see such cases. Men with relatively mild sperm abnormalities are treated with clomiphene citrate (tablets) to improve the quality of their semen, while Clomid is prescribed to increase sperm count and also improve sperm motility for males. We also analyse sperm count 3 -6 months after the treatment has started to gauge the effectiveness of this treatment.
In most cases, medication is not the answer to treat infertility. Depending on the cause of your infertility, surgery may be considered to reverse a vasectomy, correct a deformity or retrieve sperm for assisted reproduction treatments.
This procedure is performed to tie off abnormally dilated veins in the scrotum. In about 2 cases out of 3, this procedure does the trick and there is a significant improvement in the quality of sperm produced. Pregnancy rates following Varicocele Ligation are about 40%, with most pregnancies occurring 6 to 9 months after the procedure, depending on the age of the woman.
Sperm extraction techniques enable us to collect sperm directly from your reproductive track, and are recommended when you are suffering from conditions such as blocked sperm ducts. In such cases, we obtain the sperm from the testis or epididymis. The collected sperm is then prepared and used with techniques such as In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), and IntracytoplasmicMorphoogically Sperm Injection (IMSI) to help you and your partner get pregnant.
Percutaneous Epididymal Sperm Aspiration (PESA) is typically our preferred method for sperm retrieval, and is done by inserting a needle through the scrotum into the epididymis to collect a small amount of sperm.
Microscopic Epididymal Sperm Aspiration (MESA) is slightly more invasive technique than PESA and uses microsurgical techniques to collect sperm from the epididymis.
Testicular Sperm Extraction (TESE) is done either using a needle or a small incision to collect a small sample of the testis tissue for extraction of sperm. In cases of very low sperm production, a technique known as Microscopic TESE (MicroTESE) is used to collect sperm from the testis.
After the sperm retrieval procedure, the sperm collected can be preserved for later use. Sperm banking helps you mitigate the need for another sperm retrieval process at a later date and keeps your options open in case your first IVF attempt doesn’t take, or you wish to father more than one child.