When infertile couples try to conceive without success, they may discover the male is suffering from Azoospermia. Azoospermia (when there is no measurable amount of sperm in the ejaculate) affects a notable percentage of men and exists in two main forms: obstructive and non-obstructive azoospermia. For men and couples suffering from male factor infertility due to azoospermia, sperm retrieval with ICSI with IVF is the most effective form of treatment.
Obstructive Azoospermia occurs when men are born without a Vas Deferens, which he typically does not discover until trying to conceive. Because the man never developed a Vas Deferens as he grew in his mother’s womb, there is no Vas Deferens to reconstruct when seeking treatment for obstructive Azoospermia. If a man with obstructive Azoospermia is seeking treatment that will allow the use of his sperm during an IVF procedure, sperm retrieval from the Epididymis (MESA) is recommended. MESA is a surgical procedure which can retrieve viable sperm for use during IVF and ICSI.
Non-obstructive Azoospermia is diagnosed in men who appear to have no sperm production at all in the testes and no obstruction; however, this is hardly ever the case. Unless the man is completely sterile, there is usually a small amount of sperm that, although don’t appear in the ejaculate, may be retrieved using ICSI. Learn more about our male infertility treatments.