ICSI with TESA - A Boon For A Hopeless Couple

ICSI with TESA - A Boon For A Hopeless Couple

A couple married for six years, and with a history of primary infertility, visited Dr Aanchal Garg, IVF & Fertility specialist at Nova IVF Fertility, Lucknow. No matter how many obstacles a couple encounters, the desire to have a baby hardly ever goes away. Dr Aanchal Garg found that the husband was azoospermic. He had been operated on for hydrocele, a condition where fluid accumulates in the scrotum. Following the procedure, he developed epididymal obstruction, a condition that hinders the sperm pathway. The person will still ejaculate, but it will be devoid of any sperms. Even after undergoing treatments at different facilities, the couple was unable to achieve the desired result.

Azoospermia Explained

Azoospermia is a medical condition that contributes to male-factor infertility, where the semen does not contain sperms. It is a condition where your semen lacks enough sperms required to fertilise the egg (ovum), thereby pregnancy.

Medical Tests and Procedures Conducted

The couple underwent a series of evaluations and fertility tests for their assessment of infertility. Upon the semen analysis, no sperms were found. The wife’s case showed no abnormalities. 

Fertility Advice and Procedures by Dr Aanchal Garg

After a thorough evaluation, Dr Aanchal Garg discussed all the possible options with the couple. The couple could conceive a biological child, and thus, Dr Garg advised them to go for ICSI with Testicular Sperm Aspiration (TESA).

Let us see what IVF-ICSI is before discussing further. ICSI, or Intracytoplasmic Sperm Injection, is a procedure used for IVF treatments. In IVF-ICSI, the doctor injects healthy sperm into the cytoplasm of the ovum (egg) to allow fertilisation, rather than letting the sperm fertilise the egg by itself in a Petri dish, as is the case with conventional IVF. It is commonly performed when sperm motility is low. Thus, ICSI is an assisted reproductive technology that can increase the possibility of pregnancy.

TESA - A Huge Help In Cases With Azoospermia

Before the advent of these advanced technologies, people used to lose hope of conceiving using their gametes. The only option was to use donor sperm for a successful pregnancy. However, with advancements in various tools and technologies, Testicular Sperm Aspiration (TESA) has proved to be an immense asset for cases with Azoospermia. Applying local or general anaesthesia, tissue/sperm aspiration is performed using a needle. The TESA procedure must always be in coordination with the egg retrieval. These sperms are then tested for their fertility, and can be comfortably used for ICSI.

Journey Towards Pregnancy

Dr Aanchal Garg advised the wife to undergo ovarian stimulation for egg retrieval. Along with that, the husband’s TESA was complete, and a few healthy sperms were found. Following the intracytoplasmic sperm injection (ICSI) protocol, the result was successful. With the joint efforts of the doctor and the couple, the woman became pregnant in the first attempt. The couple happily gave birth to a healthy baby last year, and they were extremely grateful to Dr Garg. 

As male fertility is becoming an increasingly serious problem, scientific advancements like TESA and ICSI have proven to overcome the challenges and help conceive a biological child. The couple was ecstatic to have a child, and it was a joy for them to be pregnant with their own gametes.

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