8 doctors weighed in:
Is testicular sperm extraction a very common procedure?
8 doctors weighed in

Dr. Michael Opsahl
Fertility Medicine
4 doctors agree
In brief: Reasonably so
Testicular sperm extraction is only required for a few special situations.
Men with obstructive azoospermia (say prior vasectomy or infection) almost always have sperm and needle aspiration (w sedation) is extremely effective but requires ivf/icsi. Men with non-obstructive azoospermia (multiple causes) require open surgical biopsy and at least 1/3 will not have any sperm to retrieve. Good luck.

In brief: Reasonably so
Testicular sperm extraction is only required for a few special situations.
Men with obstructive azoospermia (say prior vasectomy or infection) almost always have sperm and needle aspiration (w sedation) is extremely effective but requires ivf/icsi. Men with non-obstructive azoospermia (multiple causes) require open surgical biopsy and at least 1/3 will not have any sperm to retrieve. Good luck.
Dr. Michael Opsahl
Dr. Michael Opsahl
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Dr. Mark Perloe
Fertility Medicine
3 doctors agree
In brief: Sperm Extraction
Testicular sperm extraction is useful for cases of epididymal obstruction.
If obstruction is present, then a simple aspiration of sperm can easily be done, and sperm can be frozen for use at the time of ivf. If the needle aspiration does not find sperm, testicular biopsy can provide sperm for ivf. The ivf center md can direct you to find a fertility trained urologist to assist you.

In brief: Sperm Extraction
Testicular sperm extraction is useful for cases of epididymal obstruction.
If obstruction is present, then a simple aspiration of sperm can easily be done, and sperm can be frozen for use at the time of ivf. If the needle aspiration does not find sperm, testicular biopsy can provide sperm for ivf. The ivf center md can direct you to find a fertility trained urologist to assist you.
Dr. Mark Perloe
Dr. Mark Perloe
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Dr. George Klauber
Pediatrics - Urology
2 doctors agree
In brief: Not common overall
Overall not common.
Common in major infertility practices and only used for intracytoplasmic sperm injection (icsi). Sperm are extracted from men's testes for icsi, a form of invitro fertilisation, when there are either no sperm or only non-motile or dead sperm in the semen. Sperm extraction is performed either by needle or actually cutting into testis surgically. Harvesting checked by microscopy.

In brief: Not common overall
Overall not common.
Common in major infertility practices and only used for intracytoplasmic sperm injection (icsi). Sperm are extracted from men's testes for icsi, a form of invitro fertilisation, when there are either no sperm or only non-motile or dead sperm in the semen. Sperm extraction is performed either by needle or actually cutting into testis surgically. Harvesting checked by microscopy.
Dr. George Klauber
Dr. George Klauber
Thank
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