Infertility Treatment (IVF) for Men in Thane
MESA
Microsurgical Epidydimal Sperm Aspiration (MESA) is executed as a part of conditions like obstructive azoospermia. It includes dissection of the epididymis under the working magnifying lens and incision of one tubule. Liquid spills from the Epidydimal tubule and accumulates in the Epidydimal bed. This pooled liquid is then suctioned. Since the epididymis is luxuriously vascularized, this technique does lead to contamination of blood cells and may limit the fertilizing ability of sperm during the process of in-vitro fertilization.
TESA and TESE
TESE or testicular sperm extraction is a surgical biopsy of the testis as compared to TESA or testicular sperm aspiration which is executed by putting in a needle inside the testicles and then suctioning liquid and tissue via negative pressure. The suctioned tissue will then be handled in the embryology research facility and the sperm cells that are extracted are utilized for ICSI.
Testicular Biopsy
A testicular biopsy is a test to extract a little sample of tissue from one or both the testicles. The tissue is then examined under a magnifying lens to check whether the man can father a child or not. The gonads (testicles) are oval-shaped organs that hang in the scrotum under the base of the penis. The testicles deliver sperm (which is required for reproduction) and male hormones, for example, testosterone.
Why It Is Done
A testicular biopsy might be done to help discover the reason for male infertility. Be that as it may, this is uncommon. It can also be done if both of the following points are valid:
- The man’s semen does not have sperm.
- Hormone test results are not inside the typical range.
This test isn’t generally used to discover testicular growth. On the off chance that your specialist suggests that you may have cancer, you will most likely have an open surgical method called an orchiectomy. A testicular biopsy may likewise be done to get sperm for an in-vitro treatment for intracytoplasmic sperm infusion (IVF-ICSI).
How It Is Done
This test is finished by a surgeon or a doctor who specializes in treating fertility issues in men (urologist). It should be possible in the office of the doctor, a day surgery center, or an operating room of the hospital. You are asked to lie on your back on an exam table. The skin over your gonad is cleaned with a sterile liquid. The region around it is secured with sterile material. Your specialist will wear gloves. It is vital that you don’t touch this region. A local analgesic will be infused into the skin of the scrotum to numb the area. At that point, a little incision is made into the skin. A very small piece of testicular tissue is extracted with little scissors. With the help of a single stitch, the cut on the testicle is closed (The stitches need not be removed. It will be absorbed by the body after some time. The technique is typically executed on the other gonad too. The scrotal zone is then bandaged. You may have to wear an athletic supporter for several days after this test. You will be approached to wear a jockstrap for a few days after the test. This will assist the testicles during the healing period.
If general anesthesia is utilized, you will be sleeping in between the entire process but the rest of the operation is same as before.
The biopsy, for the most part, takes 15 to 20 minutes. You will likely be encouraged to not have a sexual act for 1 to 2 weeks after the test. Refrain from washing the region for a few days.
The most effective method to Prepare:
Before a testicular biopsy, make sure to tell your specialist in the event that you:
- Have had any bleeding problems.
- Are oversensitive to any medications, including soporifics.
- Are taking any prescriptions frequently. Make certain to enlighten your specialist regarding every one of the prescriptions you take, even over-the-counter ones.
- Take any blood-diminishing medications, for example, warfarin (Coumadin), heparin, enoxaparin (Lovenox), headache medicine, ibuprofen, or different NSAIDs.
You will be made a request to sign a consent form that says you are aware of the dangers of the test and are willing to have it done.
Converse with your doctor about any worries you have regarding the requirement for the test. Get some information about its dangers, how it will be done, and what are the outcomes that can be expected. In the case that the biopsy is done under local anesthesia, you don’t have to do anything else to prepare.
Sperm Freezing
In the event that you and your partner are experiencing difficulty getting pregnant, most likely you need to discover the reason behind what’s keeping you from becoming pregnant.
While both women and men can have infertility related issues, the impact of male-related issues is existent in almost half of all cases related to infertility. Furthermore, since male infertility is frequently caused by low sperm creation, one of the main tests your specialist will probably request is a semen analysis.
In the event that you and your partner are experiencing difficulty getting pregnant, most likely you need to discover the reason behind what’s keeping you from becoming pregnant.
While both women and men can have infertility related issues, the impact of male-related issues is existent in almost half of all cases related to infertility. Furthermore, since male infertility is frequently caused by low sperm creation, one of the main tests your specialist will probably request is a semen analysis.
Giving a Semen Sample
In order to run a semen analysis, your specialist will request that you give a semen test. Ordinarily, you discharge into a gathering container in a private room at your specialist’s office.
Sometimes, you can gather your specimen at home, however, you need to keep it at room temperature and get it to your specialist or lab within the timeframe of 60 minutes. A few specialists can furnish you with a special condom that gathers your semen while having sex.
Your specialist may request that you not have intercourse or masturbate for 2 to 5 days before this test to ensure your sperm count is as high as it can be. Be that as it may, don’t stay away from ejaculation for more than 2 weeks before your test. That can result in a specimen with sperm that is less mobile or active.
It’s best not to drink liquor before your semen investigation. You ought to likewise inform your specialist about any prescriptions or home-grown supplements you’re taking. Also, don’t utilize lubricants when you gather your specimen since they can influence how effectively your sperm can move around.
To get the most exact outcomes, your specialist will presumably need to test more than one specimen. You may even need to give 2 to 3 tests over a three-month time frame.
What the Test Tells You
Once a lab gets your semen test, they’ll take a gander at it under a magnifying instrument. This will give them a lot of information which can include:
How many sperms are present. An ordinary sperm tally is between 15 million and 200 million sperm for every milliliter of semen. Your sperm tally is called to be low if you have under 15 million sperm for each milliliter.
What is Sperm Analysis
How your sperm is moving (motility): Your specialist will examine what number of sperm are moving and how well they move. Preferably, half or more than half of your sperm (in the sample) ought to be mobile and active.
What your sperm looks like (morphology): The size and state of your sperm influences their capacity to fertilize an egg. Typical semen will have no less than 30% normal looking sperm.
The doctor will also find other details from the sample like:
Volume: He’ll take note of how much semen you could accommodate while giving the specimen. A typical sum is around 2.5 milliliters, or about a large portion of a teaspoon. In the event that your specimen is not as much as that, it could imply that your original vesicles aren’t making enough liquid or are blocked. You could likewise have an issue with your prostate.
Chemical Composition: Your pH level analyzes the acidity in your semen. Typical pH is in the vicinity of 7.1 and 8.0. A low pH level means you have acidic semen. A high pH level means it’s antacid. An abnormal pH can influence the soundness or health of your sperm and how well it moves.
Liquefaction time: Ordinary semen turns out the thick white discharge. Liquefaction time measures to how much time it takes before it ends up being noticeably fluid. If this doesn’t happen or the sample doesn’t liquify at all, then it might indicate a problem.
Fructose level: On the off chance that your specialist doesn’t discover any sperm in your semen examination, he will most likely check it for seminal fructose, which is created by the seminal vesicles. Low levels, or no fructose, could mean you have some kind of an obstruction.
In the event that the semen analysis does yield problems, the doctor will give out some more tests to find specific issues.
Semen Analysis
Therapeutic Fertility Preservation for Men
In the event that you need treatment for cancer, that can impact your ability to stay fertile, there are some alternatives that can make sure that you can still be a parent in the future.
Chemotherapy and radiotherapy can influence your sperm generation – in some cases this influence can be brief while in some other it can be non-reversible. Once your treatment starts, it’s fairly possible that the damage might be incorporated in your genes and may cause hereditary harm. Keeping these things in mind, we strongly advise you to contact the andrology unit of a medical facility before starting any disease treatment.
Freezing sperm
Before you start chemotherapy or radiotherapy treatment, some of your semen, that contains your sperm, can be frozen and kept so that when you want to start a family, you can. Men who need to travel abroad or work in risky circumstances may likewise need to have their sperm solidified for use later on.
How does sperm freezing work?
Sperm samples are collected in a private room and then the scientists do the preparation and freeze them as soon as possible. You can also accumulate it at home and bring it in the lab as soon as possible or you can use a special condom and collect the sperm while having sex. If for some reason you are not able to gather your semen or there are no sperms in your semen, because of any disease, then the doctor might use a needle and collect the sperms from your testicles itself. This process is known as testicular biopsy. It can then later on be used for ICSI treatment.
Once the sperm is gathered, it is blended with a protective solution and then the temperature is bit by bit lessened. Around 25%-half of the sperm will survive the freezing process, and they can be put away for multiple years. The pricing involves an initial freezing fee and then a yearly fee (normally billed every six months) for storing the sperm.
