At Nahal Fertility, we understand that male fertility challenges can feel overwhelming. But with advanced microsurgical sperm retrieval techniques, many men can still achieve biological fatherhood. Whether you’ve had a vasectomy, face a blockage, or struggle with ejaculation, our tailored procedures like PESA (Percutaneous Epididymal Sperm Aspiration) and TESE (Testicular Sperm Extraction) are designed to offer real solutions.
What Is Surgical Sperm Retrieval?
Surgical sperm retrieval is a medical procedure used to extract sperm directly from the testicles or epididymis when natural ejaculation is not possible. It is commonly used for men with azoospermia and is often paired with ICSI or IVF treatments to assist with conception. At Nahal Fertility, we offer two of the most effective sperm retrieval techniques: PESA and TESE.
When Is Sperm Retrieval Needed?
Sperm retrieval procedures are recommended for men with:
Blocked or absent vas deferens (e.g., due to congenital issues or vasectomy)
Obstructive or non-obstructive azoospermia (no sperm in the ejaculate)
Failed vasectomy reversal
Ejaculatory disorders
Even if a man produces no sperm in his semen, there may still be viable sperm within the reproductive tract.
What Is Surgical Sperm Retrieval?
Surgical sperm retrieval is a medical procedure used to extract sperm directly from the testicles or epididymis when natural ejaculation is not possible. It is commonly used for men with azoospermia and is often paired with ICSI or IVF treatments to assist with conception. At Nahal Fertility, we offer two of the most effective sperm retrieval techniques: PESA and TESE.
When Is Sperm Retrieval Needed?
Sperm retrieval procedures are recommended for men with:
Blocked or absent vas deferens (e.g., due to congenital issues or vasectomy)
Obstructive or non-obstructive azoospermia (no sperm in the ejaculate)
Failed vasectomy reversal
Ejaculatory disorders
Even if a man produces no sperm in his semen, there may still be viable sperm within the reproductive tract.
Sperm Retrieval for IUI vs IVF
While sperm retrieval is primarily used for IVF, it may occasionally be considered for IUI if the quality and motility of sperm are high. However, since most retrieved sperm are immotile or very limited in number, ICSI remains the most effective treatment option.
How Is Sperm Retrieved for IVF?
After retrieval through PESA or TESE, the sperm is analyzed and either used immediately or cryopreserved (frozen). These sperm are then used in IVF with ICSI (Intracytoplasmic Sperm Injection), where a single sperm is injected directly into each mature egg.
Sperm Retrieval Success Rates
Success rates depend on several factors, including the retrieval method, underlying medical condition, and age. At Nahal Fertility, our lab uses the latest technology to maximize retrieval outcomes.
PESA success rates: 60% to 80% in obstructive cases
TESE success rates: 40% to 60% in non-obstructive azoospermia
Our embryologists carefully examine aspirated sperm to determine suitability for freezing and fertilization.
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FAQs About Sperm Retrieval
Sperm retrieval causes minimal pain due to the use of local or general anesthesia. Patients may experience mild soreness or swelling for a few days after the procedure. Pain levels vary by technique, but most methods like TESA or PESA result in only minor discomfort.
The success rate of sperm retrieval ranges from 30% to over 90%, depending on the technique and underlying condition. Methods like micro-TESE have higher success rates, especially in men with non-obstructive azoospermia. Success also depends on the surgeon's skill and testicular health.
The cost to retrieve sperm varies based on the medical facility and retrieval method used. Advanced techniques like micro-TESE or testicular biopsies typically cost more than basic methods like PESA. Insurance coverage, anesthesia, and lab fees also influence the final price.
Sperm retrieval is done by extracting sperm directly from the testicles or epididymis using techniques like TESA, PESA, or micro-TESE. Doctors use a needle or small incision under anesthesia to collect sperm, which is then used for assisted reproductive treatments like IVF or ICSI.
The main difference between surgical sperm retrieval and sperm retrieval is the method used. Surgical sperm retrieval involves an incision or needle to extract sperm from the testicles or epididymis, while sperm retrieval may also include non-surgical methods like collecting sperm from urine or ejaculate in special cases.