Surgical semen retrieval in AzoospermiaDr. Ashish Kale
Any method of obtaining sperm for fertility purposes is referred to as sperm retrieval.
There are numerous methods for obtaining sperm. The procedure employed is determined by the reason for the lack of sperm, the patient’s wishes, and the surgeon’s ability.
The information provided here should aid you and your partner in your discussions with your doctor.
What Happens When Things Are Normal?
Sperm and testosterone (male hormone) are produced in the scrotum’s two testicles, which are located at the base of the penis. Sperm leave the testicles through the epididymis, a coiled tube. They remain in this location until they are ready to be used. A tube called the vas deferens connects each epididymis to the prostate. This tube extends from the scrotum through the groyne, pelvis, and behind the bladder. The ejaculatory duct is formed when each vas deferens unites with a seminal vesicle. Sperm travels via the ejaculatory ducts to combine with fluid from the seminal vesicles, prostate, and other glands to form semen during ejaculation. The sperm passes via the urethra and exits the penis at the other end.
A semen analysis is one approach to looking for sperm. Under a microscope, your doctor will examine your sperm. A lack of sperm (“azoospermia”) may necessitate sperm retrieval.
Obstructive azoospermia and non-obstructive azoospermia are the two main kinds of azoospermia.
The testicles produce sperm in this disease, but they are unable to enter semen due to a blockage in the male reproductive canal. (A vasectomy is performed in this manner.) It is a surgical procedure that prevents sperm from entering the sperm.)
Because of a congenital condition, there may be no vas deferens. If you have the cystic fibrosis gene, this could happen. Blockages in the epididymis and ejaculatory duct are also possible. A hernia repair or other operation may have damaged the vas deferens. Surgical correction of obstructive azoospermia may be possible.
Azoospermia that isn’t obstructive
Your body may not produce any sperm if you have this problem. Or the sperm production may be so poor that there aren’t enough to show up in the ejaculate. Studies for hormones in the blood and genetic tests can assist in determining the cause.
Some men experience orgasms, yet no sperm emerges from the penis. An orgasm is a bodily sensation that occurs as a result of sexual stimulation. When you approach orgasm, you may have ejaculation (the release of sperm). Muscle contractions, an elevated heart rate, breathing rate, blood pressure, and perspiration are all possible symptoms. Anejaculation (lack of ejaculation) or retrograde ejaculation can cause a lack of visible semen with sexual arousal.
What happens if there aren’t any sperm?
In situations of obstructive azoospermia, finding no sperm is unusual.
Sperm may not be retrieved in 20% of the cases of obstructive Azoospermia and 50 to 60% of the cases of non-obstructive Azoospermia depending on the aetiology or the cause of Azoospermia and to determine whether you will find any sperm on surgical retrieval a good clinical history and a blood test is very important at the right kind of a centre who understands the causes of azoospermia.
You should consult the correct male infertility specialist so that you know your chances of sperm retrieval. The main intention behind going for surgical sperm retrieval is to have your biological child. In a very low percentage of cases, it may happen that you may not get sperm even after surgical retrieval and in those rare cases may use donor sperm after discussing with your concerned doctor.