Uncategorized 01.12.2021 3 min read

Modern Methods of Diagnosis and Treatment of Male Infertility: TESA, TESE

According to statistics, the male factor of infertility occurs in about 55% of cases. The European Association of Urology, Andrology and Sexology cites frightening figures: since 2009, there has been a steady increase in the number of men aged 23-38 years who turn to andrologists for the diagnosis and treatment of infertility. Experts note that […]

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Updated 01.12.2021
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According to statistics, the male factor of infertility occurs in about 55% of cases. The European Association of Urology, Andrology and Sexology cites frightening figures: since 2009, there has been a steady increase in the number of men aged 23-38 years who turn to andrologists for the diagnosis and treatment of infertility. Experts note that […]

According to statistics, the male factor of infertility occurs in about 55% of cases. The European Association of Urology, Andrology and Sexology cites frightening figures: since 2009, there has been a steady increase in the number of men aged 23-38 years who turn to andrologists for the diagnosis and treatment of infertility. Experts note that not only stress and an unfavorable environmental environment contribute to an increase in the number of patients, but also a decrease in the percentage of men vaccinated against mumps in childhood. As a result, the diagnosis “infertility” is heard by very young men who sincerely want to become fathers.

Fortunately, there is a simple and non-invasive method for diagnosing and treating even complex forms of male infertility. TESA or TESE testicular aspiration biopsy is easy to perform, easy to carry and gives the doctor a complete understanding of the clinical picture.

MILITTA IVF Agency cooperates with the best Kyiv urologists, who are fluent in the necessary experience in performing TESA or TESE. Feedback from grateful patients is the best confirmation of this.

Sperm Aspiration: Types of Procedure

The main differences between TESA and TESE are in the method of implantation into the testicular tissue and in the number of cells obtained. The rest of the procedures are identical:

  1. Are performed under intravenous anesthesia;
  2. Take 15-20 minutes;
  3. Do not require long-term recovery.

TESA involves the collection of spermatozoa using a vacuum aspirator, without excision of testicular tissue. TESE additionally includes the extraction of a small piece of testicular tissue with sperm-forming tissues. From them, under the control of microscopy, the doctor will extract healthy and motile spermatozoa capable of fertilization.

Современные методы диагностики и лечения мужского бесплодия: TESA, TESE фото 1

Indications And Contraindications For TESA, TESE

As with any medical manipulation, aspiration biopsy has its own indications:

  • Male infertility of unexplained genesis;
  • Low or absent sperm motility (based on semen analysis);
  • Past inflammatory diseases of the testicles (mumps, orchitis, etc.);
  • Receiving a high dose of radiation (man-made disaster, working conditions, radiation therapy);
  • Obstruction of the vas deferens.

 Detailed recommendations on preparation for the procedure, as well as the specifics of recovery, will be announced by the doctor at the consultation.

How Can the Obtained Sperm Be Used?

The sperm obtained as a result of aspiration can then be used in assisted reproductive technologies (ART) protocols. Additionally, using the MAR test, the biological laboratory assistant can separate the most viable, healthy and mobile germ cells from the aspirate. The obtained spermatozoa can be used for ICSI (artificial introduction of a sperm into an egg under the control of a microscope) or intrauterine insemination (with a sufficient amount of material).

The optimal format for using the obtained biomaterial is determined by the reproductive specialist after studying the results of the biopsy and further reproductive plans of the patient.

Современные методы диагностики и лечения мужского бесплодия: TESA, TESE фото 3

How to Sign Up For the Procedure

MILITTA IVF Agency cooperates with the best clinics in the capital. Your personal manager will sing you up for the procedure with an experienced urologist-andrologist at one of the partner clinics. To clarify the details or sign up for the procedure, leave a request through the feedback form on the site or contact by numbers:

096 172 55 99

095 172 55 99

073 172 55 99

MILITTA: we will give you the happiness of parenthood.

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Militta editorial team.