Microsurgical epididymal sperm aspiration (MESA) and testicular sperm extraction (TESE) are procedures involving the introduction of a thin needle directly into the testicle under anesthesia to obtain sperm for IVF/ICSI procedure.
It is most commonly utilized in cases of spermatic duct occlusion or absence, but can also be performed in cases of ejaculatory dysfunction, such as spinal cord injuries or in cases of intractable male impotency.
IVF offers the best treatment option for all male factor infertility cases regardless of the severity, but should not suggest that all male factor infertility cases be treated with IVF.
In mild forms, IUI treatment is acceptable, especially in early infertility cases with no other identifiable cause.IVF along with intracytoplasmic sperm injection (ICSI) allows couples to achieve pregnancy even with very low sperm count and can be applied to all male factor infertility cases.
Vasectomy reversal. Sometimes, a vasectomy reversal may be the preferred option for men who wish to conceive with a new partner.
This is performed as a day surgery procedure utilizing the operating microscope. As the surgery involves very tiny sutures, a week at least must be set aside to aid healing and prevent injury to the especially small area of the vasectomy reversal site.
There is usually nothing that can be done to prevent male infertility caused by genetic problems or illness. However, there are actions that men can take to decrease the possibility of infertility.
- Avoiding sexually transmitted diseases
- Avoiding illicit drugs
- Avoiding radiation when possible
- Avoiding exposure to toxic substances
- Avoiding heavy or frequent use of alcohol
- Observing good personal hygiene and health practices
- Avoiding long, hot baths, hot tubs or saunas
- Wearing loose-fitting underwear