In this video, Dr Jay Mehta explains to viewers all the steps of the Obstructive Azoospermia treatment procedure and gives them a detailed understanding of the entire procedure.

Azoospermia is a medical condition leading to Male Infertility which signifies ZERO Sperm Counts or Nil Sperm Counts.

There are 2 predominant types of Azoospermia
- Obstructive Azoospermia: In this, the male has a good Sperm Sperm production but due to blockage of the male reproductive tract, there is a complete absence of sperm in the semen.
- Non Obstructive Azoospermia: In this, there is not enough sperm production to be seen in the semen. due to a variety of genetic, endocrinological, lifestyle and medical conditions. This condition is more common than Obstructive Azoospermia.

Obstructive Azoospermia Treatment
The treatment choice for Obstructive Azoospermia is very straightforward because the reports indicate that the sperm production is going to be normal inside the testis, what is important here is to observe that the testicular volume is going to be normal. In this process, sperm retrieval requires Testicular Fine Needle Aspiration called TEFNA.

Once the TEFNA is done the sperm recovery rate following Obstructive Azoospermia is going to be high at 95%. These sperms are obtained once the testicular tissues are gifted to the laboratory where it undergoes further processing. These sperms are further processed to perform ICSI (Intracytoplasmic sperm injection) wherein the manual fusion of immotile sperm is done with the oocyte.

Why ICSI following TEFNA for Obstructive Azoospermia?
This is because of the motility as a result of which doctors instead of standard in vitro fertilization (IVF) go for ICSI it has shown to result in a significantly higher fertilization rate.

On average, the clinical pregnancy following Testicular Sperm Extraction for Obstructive Azoospermia is almost equivalent to the clinical pregnancy rate of any other pregnancy following IVF. This process has slightly better LIVE BIRTH rates against Non Obstructive Azoospermia

Non Obstructive Azoospermia (NOA) is a very challenging condition to treat. In the hands of a good Fertility Specialist, one can expect a Sperm Retrieval Rate (SRR) of 55-65%. The most technically sound surgery for the same is a micro TESE, a prolonged surgery which needs tremendous patience and concentration to scan through the entire testis in order to retrieve sperms which are healthy enough to obtain healthy Blastocyst Embryos.

Though it’s a process which is dependant on variable factors, the estimates success rates of LIVE BIRTH following micro TESE for Sperm Extraction are close to 25-30%. A lot of the couples with Azoospermia can facilitate to have a Genetic Child of their Own, thanks to such advanced techniques.

As a patient, there are certain things which one needs to know regarding this procedure:
1. It’s done under spinal Anesthesia
2. The procedure time can be between 120-180 minutes
3. The procedure needs one day leave from work
4. The pain is limited from the day 1 post-procedure
5. Routine and office work can be resumed after 24 hours post-procedure
6. International travel is allowed 48 hours post-procedure

Now, typically, this process is carried out along with the process of Ovarian Stimulation in order to obtain the sperms on the day of the oocyte retrieval. This is done to save time and reduce the financial burden on the patients.

Patients should also note, that should there be additional sperms which are obtained in this procedure, they can be successfully cryopreserved using the spermVD technique, which is another technique that has been pioneered by Dr Jay Mehta.

The clinic and the medical team shall be happy to answer your queries, should you require personal correspondence, please submit your medical papers on shreeivfclinic@gmail.com. Kindly also note that the medical guidance which will be provided will be subject to the medical consulting fees for that point in time.

Watch the full video.
For personal correspondence,contact on: contactdrjaymehta@gmail.com
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Dr Jay Mehta is the Scientific Director of Shree IVF Clinic, a Luxury Facility for Advanced Assisted Reproduction and Advanced Pelvic Surgery in Mumbai. He is a very well known Fertility Specialist and is one of the few specialists in the country who is also an extremely sound Embryologist and Andrologist.

From the year 2018, Dr Jay Mehta converted the clinic into a Program that doesn’t allow the use of Donor Sperms. Currently, the clinic practices the DONOR Program in less than 1% of its patients. This is one of the factors which is largely responsible for the clinic being extremely popular for Fertility Treatments amongst the patients.

The clinic is one of the busiest IVF Clinics in the city of Mumbai and is consistently rated by patients and fellow gynaecologists to be one of the Top Fertility Clinics in the city.

Regards,
Shree IVF Clinic
9920914115/ 7738155558/ 8369540816

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