The removal of sperm from the testicle by direct surgery is called Testicular Sperm Extraction (TESE). While PESA and PTSA can be performed under local anesthesia, TESE is often performed under general anesthesia. The procedure takes about 15 to 45 minutes and the person can return to normal life the next day. If sperm cannot be found by surgery, the path to be followed depends on the biopsy results. On the other hand, it is possible to obtain promising results for retry in a significant number of patients. In this case, a new trial can be made a few months later.
What is Fertility & IVF?
Infertility is the absence of pregnancy despite 1 year of unprotected intercourse. In the problem of inability to have a child which is seen in about 15% of couples, only 20% of male factors, 30% of both male&female factors and only female factors are observed with a rate of 40%. In 10% of couples, there is an unexplained infertility. In the treatment of infertility, simple and causal treatments are preferred initially. If the problem can be detected, it is aimed to ensure pregnancy in the couple's home by eliminating correctable causes such as drug therapy, varicocele surgery, treatment of canal obstructions. With these treatments, even if the pregnancy cannot be achieved, the condition of the man is partially improved and it is ensured that he can benefit from assisted reproductive techniques with higher success. In other words, with the higher number and quality of the sperm obtained, the success of applications such as in vitro fertilization or vaccination is tried to be increased. While suitable couples may benefit from the method of leaving the male's sperm prepared in the laboratory to the female uterus (vaccination = insemination) by the gynecologist, microinjection = in vitro fertilization (IVF) may be required as a last resort for those with more severe conditions.
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