Vps asks, “So, would ISCI be for sperm that is not motile?
” Dr. Silber: Vps, Most of the time, when the sperm is not “motile” there is a little bit of a shaking wiggle. So, it’s extremely poor motility, but not completely non motile. So, if there is the slightest wiggle to just an occasional sperm, then with ICSI the results are just as good as if the husband had vigorously motile fertile sperm. So, the wiggle … however slight … tells us that the sperm is alive and that the DNA is good. Now, if there is absolutely zero wiggle, we can still solve that problem by retrieving sperm directly from the husband’s testicles. Hearing this may make him wince, but we do it microsurgical and painlessly, believe it or not. The sperm that we retrieve from the testicle will always be alive and this procedure is called TESE. This is a procedure that we invented in St. Louis and in Brussels in 1993. There’s hardly any man … no matter how severe his problem … that can’t be a father.
