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  Investigation

• Female Infertility

• Male Infertility

Male Infertility::

Percutaneous Epididymal Sperm Aspiration (PESA):
 
This is the procedure used to aspirate sperm from the collection system of the testis (epididymis) in men with obstruction in the vas deferens (the tube that transports sperm to the seminal vesicles) from where it is ejaculated. This procedure requires either local, sedation, or short general anaesthesia. The sperm collected can then be used for Intra Cytoplasmic Sperm Injected (ICSI), whereby a single sperm is injected directly into an egg, on the same day, and/or frozen for later use.
 

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Testicular Sperm Aspiration (TeSA):

This new assisted conception technique was developed in 1992 primarily to treat severe male factor infertility. It was discovered accidentally when techniques were being developed to assist fertilisation in cases where there were too few motile sperm. Previous microscopic assisted fertilisation attempts such as Zona drilling (making a hole in the zona pellucida) and SUZI (injection of a few sperm underneath the zona) were not very successful. ICSI is the direct injection of a single sperm into the egg. This technique has completely transformed the treatment of male factor infertility. The fertilisation and pregnancy rates for ICSI are similar to those for IVF.
 

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 Intra Cytoplasmic Sperm Injection (ICSI):

This new assisted conception technique was developed in 1992 primarily to treat severe male factor infertility. It was discovered accidentally when techniques were being developed to assist fertilisation in cases where there were too few motile sperm. Previous microscopic assisted fertilisation attempts such as Zona drilling (making a hole in the zona pellucida) and SUZI (injection of a few sperm underneath the zona) were not very successful. ICSI is the direct injection of a single sperm into the egg. This technique has completely transformed the treatment of male factor infertility. The fertilisation and pregnancy rates for ICSI are similar to those for IVF.
 

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Semen Freezing:

Sperm freezing facilities are available at the Centre. Men who are likely to benefit from this are those who have been advised to undergo vasectomy or chemotherapy/radiation therapy for the management of malignancies. This facility would also be useful when the wife is undergoing treatment and the husband is unable to be in attendance at the time of egg collection/Artificial Insemination (AI).

There is a charge for the freezing and maintenance of sperm. This is included in the Price List.

It is important that couples with frozen sperm keep the Centre informed of their intentions with regards to the future use of the sperm. If there is no future intention to use the sperm, then authorization needs to be given to have them disposed of. A written consent by both husband and wife will be obtained prior to their disposal.

The annual maintenance fee will be payable on demand when the couple plan to use the sperm.