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The Role of Sperm Retrieval in IVF

If you want to have a child and start a family but you suffer from male infertility in Sarasota, all hope is not lost. There are infertility procedures that can be performed in order to draw out your sperm and help you achieve your dream. Here is a look at the role of sperm retrieval in IVF.

IVF, or in vitro fertilization, allows a doctor to combine the egg and sperm outside of the body and implant the embryo into the uterus. In order to do this, sperm may be retrieved from the male in a number of ways. Microsurgical epididymal sperm aspiration is among the most effective procedures; in this infertility procedure, a doctor will retrieve sperm from the epididymis. Once the sperm has been retrieved, it can be combined with the egg to form an embryo.

Call the Center for Vasectomy Reversal and Male Infertility at (941) 981-4341 if you would like to learn more about the role of sperm retrieval in in vitro fertilization. Dr. Green is a male infertility and vasectomy reversal surgeon who works in the Sarasota area. Please feel free to visit our website to learn more about our infertility procedures.


What Factors Influence the Success Rate of Vasectomy Reversals?

Thanks to improvements in vasectomy reversal technology, most vasectomized men are good candidates for this procedure. However, the highest success rates—90 percent or more—are among men who've been vasectomized for less than 15 years before getting a reversal. It also helps to have a young, healthy, fertile partner. The procedure has shown to be more cost-effective than in vitro fertilization with harvesting, especially for men who want to conceive more than one child. But if the partner has a problem, in vitro might be the better option; it all depends on what the problem is and how it affects her reproductive abilities.

At the Center for Vasectomy Reversal, our aim is to help vasectomized men regain the ability to father children. Men throughout Sarasota who wish to conceive again have come to us to make their dreams a reality. To schedule a consultation with Dr. Green, our vasectomy reversal surgeon, call us at (941) 462-4647.


Exploring Techniques for Sperm Retrieval for IVF

When it comes to child conception, men who are unable to produce sperm have an alternate option: sperm retrieval. To ensure successful impregnation, the methods of sperm retrieval are usually accompanied with in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). Sperm retrieval can be achieved with any one of the following procedures provided by visiting Dr. Green in Sarasota:

Testicular sperm extraction (TESE)

This male infertility option involves an incision of the testes, under anesthesia, so that sperm can be extracted for an IVF with ICSI.

Testicular sperm aspiration (TESA)

This procedure is alternately known as a testicular fine needle aspiration (TFNA) ; it involves a needle and syringe, which are used to extract sperm straight from the testis without a standard incision of the scrotum.

Percutaneous epididymal sperm aspiration (PESA)

This infertility procedure involves withdrawing fluid from the epididymis with a needle and syringe. Despite its lower success rate, the method is an easy, low-cost option for the more challenged candidates, such as vasectomized men who also happen to have azoospermia (low sperm counts).

Microsurgical epididymal sperm aspiration (MESA)

Another option for men with obstructive azoospermia, this involves the extraction of fluid—through aspiration or incision—from the epididymal tubules with a syringe and microscope.

Microsurgical testicular sperm extraction (Micro-TESE)

Strictly for candidates without obstructive azoospermia, this method studies and compares normal and abnormal areas of sperm activity in the testis, which are opened at the outer layer under a microscope.

If you would like to experience fatherhood again, years after having had a vasectomy, contact the Center for Vasectomy Reversal in Sarasota. We have helped many middle-aged and older men regain their ability to conceive years after their vasectomies, and you can learn more about our services by visiting our website or calling (941) 981-4341 to schedule an appointment with Dr. Green, our vasectomy-reversal surgeon.


What to Expect Before Your Vasectomy Reversal

Thousands of men undergo vasectomies in the U.S. each year, but a small percentage ultimately choose to reverse that decision. Many men opt to reverse the procedure due to remarriage, while other times a couple will change their mind and decide they want another child. If you've undergone a vasectomy in Sarasota but now want a new baby, you could go the in vitro fertilization route; but you might wish instead to conceive again the natural way.

The Procedure

When you conceive a child naturally, there's no need to resort to artificial hormonal stimulation. Furthermore, you won't need to freeze sperm, eggs, or embryos, or grapple with the dilemma of unused embryos. Vasectomy reversal involves stitching together tubes that were severed during the initial procedure. The most sophisticated techniques involve the placement of micro-stitches to precisely reconnect the vas deferens.

Likelihood of Success

Even though vasectomies are generally advertised as a permanent procedure, success rates on reversals are relatively high, even years after the original procedure. For men who seek reversals less than five years after a vasectomy, there's a 95 percent success rate; 5-10 years after a vasectomy, reversals are 90 percent successful; 10 or more years after a vasectomy, reversals are 80-90 percent successful.

How to Proceed

During your initial steps to have a vasectomy reversal, a physician will ask for the medical history of you and your partner, which will be used to determine your best option for conceiving a child. A reversal can be completed within a few hours, and you can generally expect to leave the clinic within five hours of your arrival. However, discomfort is likely for the first couple days following the procedure, and you'll be advised to give your tubes up to three weeks to heal.

If you've changed your mind about a prior vasectomy, Dr. Green at the Center for Vasectomy Reversal can help. Vasectomized men come to us weekly to regain the ability to father children, and you can learn more by calling our Sarasota clinic at (941) 981-4341.


Understanding Vasectomy Reversal

A small number of men opt to have vasectomies reversed. The process involves opening up the scrotum, removing the severed ends of the vas tubes, and stitching them back together. The length of time between a vasectomy and reversal will affect the success chances of the latter. The older the man, the less likely he'll be able to produce sperm. If it doesn't work, in vitro fertilization is another option. The video talks more about vasectomy reversal.

If you had a vasectomy years ago but have since changed your mind, the Center for Vasectomy Reversal can help you regain the ability to conceive. Across Sarasota, men come to us weekly with the very same goal in mind. To learn more about our services or to schedule a consultation with our vasectomy-reversal surgeon, Dr. Green, call us at (941) 981-4341 .


What is the TESE Procedure?

If you produce ejaculate without sperm, your doctor may recommend sperm retrieval in conjunction with in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) for reasonable pregnancy rates. Sperm can be retrieved from the reproductive tract by various approaches, including testicular sperm extraction (TESE). The TESE procedure is used to diagnose the cause of a man's azoospermia (absence of sperm in the ejaculate fluid) and obtain sufficient tissue for sperm extraction. TESE involves one or multiple microscopic incisions in the testicles. For the best success rate, consult with a male infertility and vasectomy reversal surgeon that utilizes the latest microsurgical technologies and techniques.

TESE is just one of the many sperm retrieval procedures performed by Dr. Joshua Green and the Center for Vasectomy Reversal and Male Infertility in Sarasota. The sperm retrieval process typically varies from a few minutes to a couple of hours, depending on the technique or procedure being performed by your male infertility surgeon.

All about Vasectomy Reversals [INFOGRAPHIC]

There are a number of reasons why men have vasectomies, and just as many why they might choose to have that procedure reversed. If you have been thinking about getting a vasectomy reversal, it's important to be well informed so you can make the right decision. A vasectomy reversal in Sarasota is a minor surgical procedure that restores the pathway for sperm to exit the body. Depending on how long ago your vasectomy was, there's a very good chance that your vasectomy reversal will be successful. If you wish to have children or feel like you did before your vasectomy, a reversal might be right for you. Take a look at this Infographic to learn all about vasectomy reversals, including why you might consider having one performed. Please share with your friends and family.


How is a Vasectomy Reversal Completed?

Vasectomy reversal aims to reconnect or unblock the vas deferens, tubes that carry sperm from the testicles to the reproductive tract. First, your vasectomy reversal surgeon will make a tiny incision in the scrotum, usually where your original vasectomy was performed. The snipped ends of the vas deferens will be inspected and the scar tissue removed. The vas deferens will then be joined together using microsurgical stitching. Watch this short animated video to see how the typical vasectomy reversal surgery is completed.

If you are considering a vasectomy reversal, consult with the compassionate and highly skilled team at the Center for Vasectomy Reversal and Male Infertility in Sarasota. Headed by Dr. Joshua Green, CVRMI understands that successful vasectomy reversal surgery is dependent on skilled surgeons and the most technologically advanced microsurgical technology and techniques. Dr. Green will be happy to answer any questions you have about vasectomy reversal surgery.


Reasons Your Fertility Doctor May Recommend Sperm Retrieval

If you have been diagnosed as infertile, there may still be hope for you to become a father. Sperm retrieval procedures (testicular sperm extraction, testicular sperm aspiration, microsurgical/percutaneous epididymal sperm aspiration, etc.) in conjunction with in vitro fertilization can help couples achieve reasonable pregnancy rates. If you have reached out to a fertility doctor in Sarasota, sperm retrieval may be one of the recommended procedures to obtain sperm for fertility purposes. There are a few specific reasons why your doctor may recommend sperm retrieval, including:

Obstructive Azoospermia

Azoospermia is the absence of sperm in the ejaculate fluid. If sperm are produced by the testicles but are unable to be released into the semen, there may be a blockage in the reproductive tract. Common causes of obstructive azoospermia include a genetically missing vas deferens or injury to the vas deferens from previous surgery, such as a vasectomy or hernia repair. If you are going in for a vasectomy removal, your vasectomy reversal surgeon will inspect the condition of the vas deferens.

Non-Obstructive Azoospermia

Non-obstructive azoospermia is a condition in which sperm are either not being produced at all or are being produced in such low level that there is not enough of them to reach the end of the reproductive tract. Your doctor will recommend blood tests and genetic tests to determine the cause of non-obstructive azoospermia before continuing with the recommended sperm retrieval procedure.

Anejaculation/Retrograde Ejaculation

If no semen is released from the tip of your penis after having an orgasm, this may be caused by anejaculation or retrograde ejaculation. Anejaculation refers to no seminal fluid being released from the reproductive tract into the urethra, while retrograde ejaculation refers to semen being released into the urethra but being pushed backwards into the bladder. Injuries and certain types of medical conditions are commonly responsible for preventing the body from being able to ejaculate semen out of the reproductive tract.


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