semen analysis test<\/mark><\/a>. When a semen analysis is performed, our trained expert checks your sperm count, sperm morphology, sperm motility, and other characteristics. Semen analysis helps determine if and how male factors are contributing to infertility.<\/p>\r\n\r\n\r\n\r\nIf the first semen analysis seems normal, our doctor will repeat the second round of tests for 100% confirmation of the results. Two normal test results indicate that you have no significant infertility problems. If something in the results looks unusual, your doctor might order more tests to pinpoint the exact reason.<\/p>\r\n\r\n\r\n\r\n
Surgery<\/strong>:<\/mark> If you don’t have any semen or sperm at all, it might be because of a blockage in your “plumbing” that can be corrected with surgical procedures such as PESA, TESA, TESE, MESA, etc.<\/p>\r\n\r\n\r\n\r\n\r\n- Testicular sperm aspiration (TESA): TESA is performed on men for IVF\/ICSI process or Semen Cryopreservation. The procedure is done under local anesthesia in the operating room or office and is coordinated with their female partner\u2019s egg retrieval. A needle is inserted in the testicle and tissue\/sperm are aspirated. TESA is best in men with obstructive azoospermia (vasectomy). Occasionally, TESA doesn\u2019t provide enough tissue\/sperm and an open testis biopsy is needed.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
\r\n- Percutaneous Epididymal Sperm Aspiration (PESA): PESA is performed for men for IVF\/ICSI. It is the best option in men with obstructive azoospermia from either a prior vasectomy or infection. It is done under local anesthesia in the operating room or office and is coordinated with their female partner\u2019s egg retrieval. The urologist sticks a needle attached to a syringe into the epididymis, then gently withdraws the fluid<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
\r\n- Testicular sperm extraction (TESE): TESE is a common technique to diagnose the cause of azoospermia and extract enough tissues for sperm extraction. The process involves making a small incision in the testis, then examining the tubules for the presence of the sperm. It is either done as a scheduled procedure or is coordinated with their female partner\u2019s egg retrieval. It is performed with sedation but can be performed in the office with local anesthesia alone. Patients usually cryopreserve sperm during this procedure for future IVF\/ICSI. MicroTESE is a more refined form of the TESE procedure.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
\r\n- Microepididymal Sperm Aspiration (MESA): MESA procedure also retrieved sperm from the epididymal tubes utilizing a surgical microscope, it yields high amounts of motile sperms.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
MESA is the best option for men who have vasal or epididymal obstruction (s\/p vasectomy, congenital bilateral absence of the vas deferens). It is either done as a scheduled procedure or is coordinated with their female partner\u2019s egg retrieval. MESA is done with general anesthesia. Patients can usually cryopreserve sperm during this procedure for future IVF\/ICSI.<\/p>\r\n\r\n\r\n\r\n
\r\n- Microdissection TESE (microTESE)<\/strong>:<\/mark> MicroTESE is the best procedure for sperm extraction for those men who have a sperm production problem and are azoospermic. MicroTESE is performed with general anesthesia using a surgical microscope. MicroTESE is carefully coordinated with the female partner\u2019s egg retrieval and is performed the day before egg retrieval. MicroTESE has significantly improved sperm retrieval rates in azoospermic men and is a safer procedure since less testicular tissue is removed. Patients can cryopreserve sperm during this procedure for future IVF\/ICSI and build their families.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
\r\n- Physical Exam:<\/mark><\/strong> With surgical procedures, abnormal formations of veins above the testicle (Variocele) can get it corrected through surgery.<\/li>\r\n\r\n\r\n\r\n
- Hormone Evaluation:<\/mark> <\/strong>Sperm production is controlled by testosterone and other hormones. Although hormones are not the main problem in about 97% of infertile men. Experts do the best test to find out the reason and treat or restore them.\u00a0<\/li>\r\n\r\n\r\n\r\n
- Genetic Testing:<\/mark> <\/strong>Genetic testing identifies specific obstacles to fertility and problems with your sperm.\u00a0<\/li>\r\n\r\n\r\n\r\n
- Anti-Sperm Antibodies:<\/mark> <\/strong>Some men make abnormal antibodies that attack the sperm on the way to the egg, which keeps your partner from getting pregnant. Men with these conditions have normal sperm in their testicles, but the sperm in semen is either missing, in low numbers, or abnormal.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n
Available male infertility treatments in Aizawl, Mizoram<\/mark><\/strong><\/p>\r\n\r\n\r\n\r\nMale infertility can be treated or restored with medication, surgical procedures, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by a urologist who specializes in infertility. A reproductive endocrinologist may offer IUI, IVF, or ICSI to help overcome male factor infertility.<\/p>\r\n\r\n\r\n\r\n