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If I am suffering from obstructive azoospermia, when should my partner and I consider sperm retrieval with an assisted reproductive technique rather than surgery?

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If I am suffering from obstructive azoospermia, when should my partner and I consider sperm retrieval with an assisted reproductive technique rather than surgery?

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Intracytoplasmic sperm injection (ICSI), a form of IVF, must be used in virtually all obstructive azoospermia cases when sperm are removed from the testicle or epididymis.This technique is employed because the number of motile sperm that can be obtained is frequently limited and the functional capacity of the sperm impaired. Retrieving sperm cells for ICSI involves several methods (described above), the choice of which will be up to you and your urologist. It can be performed prior to or simultaneously with your partner’s egg retrieval. While many reproductive centers prefer to use the “fresh” sperm obtained on the same day as the retrieval, others prefer previously harvested and frozen cells. As stated, sperm retrieval can often be accomplished by either a needle aspiration or microsurgical techniques.

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