Is ICSI Helpful in Extreme Cases of Azoospermia

Originally posted 2021-09-29 06:40:14.

A surgical sperm extraction procedure or a biopsy used to extract sperm is recommended by the conventional doctors when a man is diagnosed with Azoospermia. This is not a useful procedure in cases where the person is experiencing problems with the revival of sperm generation. This method is recommended for men who have normal FSH, testicular size and other hormonal parameters in right measure but observe a zero sperm count in Semen Analysis. In such cases, there are chances of sperm regeneration through the use of appropriate medicines. The important point is, the person should have no hormonal or other imbalances or hindrance in the sperm production except Azoospermia.

Nowadays, instead of motivating the sperm production process, the patients are recommended sperm extraction tests to retrieve normal growing sperms. This procedure when carried out yields no positive results when sperm production and revival techniques are not applied to the patient.

These tests may fail when the spermatogenesis or the process of sperm production is not happening. Every IVF centre is now exploiting patients by recommending unnecessary tests without trying to ascertain if the spermatogenesis is occurring normally. Also, some of the sperm revival methods are known to cause injury or scarring to healthy testicular cells. This may deteriorate the condition and develop secondary issues like testis atrophy, loss of libido, and ED.

If any fertility clinic or an IVF centre is not interested in conducting a diagnostic testicular biopsy and is recommending sperm extraction procedures, it is best to search for a different clinic or a trusted doctor to seek a second opinion. Without the correct picture of the sperm production process, no clinic can recommend a sperm extraction technique for a man who is diagnosed to be azoospermic. Also, giving false hopes in such cases is not a good practice. Many IVF clinics resort to these practices in the recent times. It is the responsibility of the couple who seek guidance at the centre to get a second opinion from a trusted doctor elsewhere before agreeing to any ICSI procedure. Listed below are a few commonly observed side effects of the procedure:

• The danger of damaging eggs is always imminent with the ICSI process.

• The infants born through ICSI may have genetic birth defects, which may require a corrective surgery to fix it.

• Sometimes, this process fails as the embryo does not grow even after the egg is successfully fertilised with injected sperm.

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