MESA (Microepididymal Sperm Aspiration) MESA is a procedure performed for men who have vasal or epididymal obstruction (s/p vasectomy, cystic fibrosis). It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. MESA is…

PESA (Percutaneous Epididymal Sperm Aspiration) PESA is a procedure performed for men who are having sperm retrieved for in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) who have obstructive azoospermia from either a prior vasectomy or infection. It is done with local…

Micro-TESE: (Microdissection TEsticular Sperm Extraction) Microscopic TESE is a procedure performed for men who have testis failure. Microdissection TESE is performed in the operating room with general anesthesia under the operating microscope. Patients cryopreserve sperm during this procedure for future…

TESE (TEsticular Sperm Ekstraction) TESE/testis biopsy/testis mapping are procedures performed for men who have testis failure. The procedure is performed to see if there are sperm present as well as for pathologic diagnosis to evaluate for malignancy. It is either…

TESA (TEsticular Sperm Aspiration) Testicular sperm aspiration (TESA) is a procedure performed for men who are having sperm retrieved for in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI). It is done with local anesthesia in the operating room or office and is…

Azoospermia Azoospermia is the condition describing a complete lack of sperm cells in the ejaculate. There is a 1% incidence in all men and 10-15% incidence in infertile men. Azoospermia is divided into three categories: pre-testicular, testicular and post testicular.…

Varicocele The veins surrounding the testicles expand and result in an increased temperature which is believed to negatively affect sperm production. Surgery may be required to correct the condition. Men who have varicocele are not infertile but 1/3 of infertile…

Male Infertility Male infertility accounts for 15% of infertility cases. Also male infertility may contribute to 30-40% of all infertility instances. Because of this, couples who cannot get pregnant should apply to the clinic together. Couples who are unable to…

What does Pregnancy Rates per Cycle Mean The first day of menstrual bleeding is designated as "day 1" of the menstrual cycle. If we look at 100 average fertile couples with a prior pregnancy who time intercourse in relation to…

Types of Infertility Infertility types are categorized based on the presence or absence of the elements listed above. Tubal Factor: The woman’s Fallopian tubes are either blocked or adhered to tissue around it. This makes it impossible for the sperm to…