Mesa performed
1 Replies
Sylvia Blanton - December 14

Dr. Smith,
My husband just underwent Mesa on Monday. I had previously e-mailed you about success rates for ICSI. The doctor that performed my husband's procedure said he found a varicole(sp?) that was causing the azoospermia. During the procedure he was able to retrieve sperm from the epididymus(sp?) and was very suprised to find that they were very mobile and normal in appearance, they retrieved 3 tubes for freezing for our cycle in January. Dr. Dean told us that this was the best possible outcome and would boost our chances of success b/c the sperm were mature and swimming he also said the amount retrieved was very good. What is your opinion? Previously the doctor's had told us b/c my husband had the blockage so long the sperm would probably be immature and unable to swim. Is that important with ICSI? Thank you for your input.

Sylvia

 

Dr Smith - December 19

That is good news. Your doctor is right. The use of epididymal sperm will increase your chance of success significantly and will put you at the same ballpark as IVF/ICSI with ejaculated sperm. In other words, your age and the number of eggs retrieved will be the rate limiting steps in the process (instead of having to factor in the negative impact of poor quality, immature sperm as well).

Good luck.

 

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