Everything you want to know about testicular biopsy

There are times when nature is not so generous even to men and it concerns the good production of sperm.

1% of men suffer from azoospermia and 10% of those who take fertility tests have the same clinical picture.

The first step in detecting a typical azoospermia is to perform a sperm chart.

And because this is not a given in its indications, after a reasonable period of time it is good to repeat it, to find out what is the complete picture of the sperm that has been taken.

The sample taken is centrifuged in the laboratory and only if it shows that there are no sperm, alive or not, then only a testicular biopsy is performed.

A testicular biopsy will show if there are sperm or not.

With this method, which will be explained below, the specialist takes sperm directly from the testicle, due to the fact that there is low motility in the sperm, according to which fertilization of the egg can not take place.

For this reason, the sperm to be obtained are used only in the case of in vitro fertilization. They are taken only by a specialized urologist.

It is possible for the operation to be performed on the same day of the egg collection, so that if there is a live sperm, the one and only egg will be fertilized.

Also, any other sperm found can be frozen for subsequent IVF attempts.

The sperm is stored in a special liquid culture material, and frozen. This way the operation does not need to be repeated.

The goal is, since the operation involves taking testicles from the testicle, to take as many samples as possible from different areas.

The operation is performed under anesthesia, has stitches and the recovery lasts from one to two days, up to a week.

At the same time, it is good to have histological examinations, by a pathologist, in order to exclude cases of malignancy, which can cause azoospermia.

Azoospermia, when it comes from obstruction of the pores, may be due to an older operation, or to an infection, or even a congenital anatomical difficulty.

It can be taken and this is the important, immature sperm, which has not passed or is unable to pass, from the epididymis and cause fertilization of the egg.

Another method is the suction of valuable sperm, from the testicles or the epididymis with simple intoxication.

The suction is done with a thin needle, with local anesthesia, without much pain, even immediately after the operation, without incisions and sutures.

Of course, the disadvantage of this latter method is that the amount of sperm is so small that it can be used for in vitro fertilization.

The material is neither too much nor too rich to withstand freezing or cryopreservation as it is called.

If this method does not give live active sperm, then the operation is done directly from the testicles to take samples, and as long as the sample is sufficient, it can be cryopreserved.

The first method is easier, but repetitive, so perhaps financially more expensive, the second is more serious, has days of recovery and relative pain, but is done once and gives material for several IVF attempts.

The method of testicular biopsy, perfectly combined with microfertilization, has good results and quite high rates of pregnancy.

It is considered the safest and best solution to severe male infertility. It’s the only way for a man with azoospermia to have biological offspring.

The surgery, that is, the fact that small pieces are cut from different parts of the testicles, should not worry anyone.

Regeneration and recovery is complete after a few days.

The samples are examined in special centers by embryologists for the detection of live sperm.

The operation is always performed by a specialized urologist and under general anesthesia.

Earlier, the male candidate for the operation, has done a cardiogram, is fasting since the night before, and may have a discussion with a psychologist.

It is important to have good mental health. For the effort he makes, this plays an important role, many times greater than we suspect.

Testicular biopsy is the modern solution for the continuation of the genes of every man who has a problem.

In the past, the only way out was the sperm bank or adoption. Science has solved many parameters of infertility in men and women, it is enough to recognize the problem and seek timely and valid help from a specialist.

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