In many cases, the absence of normal sperm is known to be a barrier to fertility, as for patients with a history of vasectomy. In other cases, a thorough evaluation may find that abnormalities exist in the quantity or proportion of normal sperm. The New Hope Center is pleased to offer individualized treatment plans to address these circumstances, which include the following:
Surgical Sperm Extraction
Removal of sperm from the testicle can be accomplished by an experienced Urologist with specialized experience in male infertility. Under local anesthesia, a small incision is made in the scrotum and the testicle. Under magnification, sperm can be removed from the epididymis (microsurgical epididymal sperm aspiration, or MESA), or from the testicle itself (testicular sperm extraction, or TESE). These procedures are appropriate when vasectomy reversal is unsuccessful or not desired. In situations where there is no sperm on the semen analysis without a known blockage, surgical sperm extraction may be attempted as well. In cases of inability to ejaculate (such as in spinal cord injury), surgical extraction of sperm is a viable alternative.
Donor sperm may be utilized by couples for numerous reasons including severe male factor infertility, a male partner with significant genetic conditions, single female and lesbian couples, or as a back-up if the male partner's sperm has previously been unsuccessful with fertilization. The New Hope Center works with numerous accredited spermbanks or cryobanks, which allows our patients the broadest possible range of potential donors. A few of the companies our patients frequently use are:
- Fairfax Cryobank (http://www.fairfaxcryobank.com)
- California Cryobank (http://www.cryobank.com)
- Seattle Cryobank (https://www.seattlespermbank.com)
ICSI – Intra-cytoplasmic Sperm Injection
Another way to overcome sperm/male factor issues, is to use ICSI. For additional information on this procedure – follow the link: http://www.thenewhopecenter.com/icsi.php.
The Episona sperm test is an advanced assessment to identify the risk of infertility associated with sperm DNA. Included in this test is a list of which genes had abnormalities (if any) so that your physician can better approach your treatment. This test helps to make informed decisions on how time and money is spent in reproductive treatments and how sperm DNA will impact your chances of success.