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Healthy sperm

Sperm Retrieval Procedures | Johns Hopkins Medicine

The testis may be producing a tiny amount of sperm, but it is not coming out in the ejaculate. Very good. If there is a reversible blockage, this can sometimes be fixed with a minor procedure. Men with no sperm in their ejaculate who likely have a problem with sperm production, can achieve pregnancy. Sperm may be retrieved with either a minor procedure or a more extensive procedure based on your particular situation. If the genetic testing is normal, rates of birth defects appear to be the same as the general population. In men who have sperm production problems, there is some evidence that medication can improve sperm retrieval success rates.
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Microscopic Testicular Sperm Extraction

In the first three conditions, sperm are produced by the testes, but are unable to be ejaculated because of the blockage or absence of the vas. The man can still ejaculate seminal fluid but this fluid will not contain any sperm. It is possible to collect sperm directly from the epididymis. Occasionally it may be possible to surgically unblock the tube that carries the sperm during the ejaculation process, although this has a low success rate.
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Sperm harvesting is entirely different from a diagnostic testicular biopsy because, in this setting, the goal is not to identify what is happening in the testis but instead it is to find sperm. Only men with no sperm in their ejaculate azoospermia need to have sperm retrieved directly from the testis or epididymis. This may involve a simple aspiration for men who have a blockage or require much more extensive sampling of the testis for men who have a sperm production problem. As a result, there is a significant difference in the amount of time it takes, the need for anesthesia and the equipment utilized. Very few tests allow for an accurate prediction of whether or not sperm will be found in the testes of men with testicular problems.
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