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Parenthood with PESA IVF

Unlocking Parenthood with PESA IVF: A Comprehensive Guide

| 02 Dec 2023 | 166623 Views |

Introduction

Infertility affects millions of couples worldwide, causing emotional and physical distress. In cases where sperm are absent from semen, advanced reproductive technologies like PESA IVF (Percutaneous Epididymal Sperm Aspiration) offer a glimmer of hope. This minimally invasive procedure retrieves sperm directly from the epididymis, paving the way for successful fertilization and pregnancy.

What is PESA IVF?

PESA is a surgical technique that involves extracting sperm from the epididymis, a coiled tube located behind the testes. During the procedure, a thin needle is inserted into the epididymis, and sperm are aspirated with gentle suction. The retrieved sperm can then be utilized in various IVF techniques, including ICSI (Intracytoplasmic Sperm Injection), for fertilization.

Benefits of PESA IVF

  • Effective for Azoospermia: PESA IVF proves highly effective for men diagnosed with azoospermia, a condition where no sperm are present in the ejaculate.
  • Minimally Invasive: Compared to other sperm retrieval procedures, PESA is minimally invasive, minimizing discomfort and recovery time.
  • High Success Rates: PESA IVF boasts impressive success rates, comparable to conventional IVF methods using ejaculated sperm.
  • Suitable for Various Cases: PESA can be employed in diverse situations, including obstructive azoospermia, testicular failure, and hormonal imbalances.

Ideal Candidates for PESA IVF

  • Men with azoospermia or severe oligozoospermia (low sperm count)
  • Individuals with blockages in the vas deferens
  • Patients with retrograde ejaculation
  • Those who have undergone vasectomy reversal with unsuccessful outcomes

PESA IVF Procedure

The PESA procedure is typically performed under local anesthesia. Here’s a step-by-step breakdown:

1. Preparation: The patient is prepped and positioned comfortably.
2. Needle Insertion: A thin needle is inserted through the scrotum and into the epididymis.
3. Aspiration: Sperm are gently aspirated using suction.
4. Sperm Analysis: The retrieved sperm are evaluated for quality and motility.
5. IVF Process: The sperm are utilized in the chosen IVF technique, such as ICSI, for fertilization with the eggs.

Recovery:

PESA is a well-tolerated procedure with minimal discomfort. Patients can usually resume their daily activities within a day or two. Minor bruising or swelling around the scrotum may occur and resolve within a few days.

Success Rates of PESA IVF:

PESA IVF boasts success rates comparable to conventional IVF methods, ranging from 30% to 60%. These rates depend on various factors, including the underlying cause of infertility, the age of the partners, and the quality of the retrieved sperm and the eggs.

Conclusion

PESA IVF is a highly effective and minimally invasive sperm retrieval technique that offers a beacon of hope for couples struggling with infertility. With its impressive success rates and suitability for a wide range of cases, PESA IVF is a valuable option for couples seeking to achieve parenthood.

Image

Image of PESA IVF procedure

This image shows a step-by-step breakdown of the PESA IVF procedure:

1. Preparation: The patient is prepped and positioned comfortably.
2. Needle Insertion: A thin needle is inserted through the scrotum and into the epididymis.
3. Aspiration: Sperm are gently aspirated using suction.
4. Sperm Analysis: The retrieved sperm are evaluated for quality and motility.
5. IVF Process: The sperm are utilized in the chosen IVF technique, such as ICSI, for fertilization with the eggs.

FAQs

PESA is considered a safe procedure with minimal risks. However, there is a slight risk of infection, bleeding, or discomfort.

The PESA procedure typically takes around 30 minutes.

The cost of PESA IVF varies depending on various factors, including the clinic location, physician experience, and additional procedures required.

Both PESA and Testicular Sperm Aspiration (TESA) are sperm retrieval methods. However, PESA retrieves sperm from the epididymis, while TESA collects sperm directly from the testicles.

The PESA procedure is performed under local anesthesia, minimizing discomfort.

If PESA is unsuccessful, other sperm retrieval techniques like TESE or Micro-TESE may be considered.

Yes, PESA can be performed multiple times if necessary.

Leftover sperm can be frozen and used in future IVF cycles.

Recovery from PESA IVF is typically quick and uneventful. Most patients resume normal activities within a day or two.

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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