Is sperm extraction from the epididymis painful?

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Infertility in couples today is not an uncommon problem, the cause can be from the husband, the wife or both. However, thanks to the now highly developed assisted reproductive techniques, many couples have successfully treated infertility. In particular, the technique of aspiration sperm from the epididymis is being applied more and more.

1. What is epididymectomy?


Percutaneous Epididymal Sperm Aspiration (PESA) is a procedure to collect sperm through aspiration from the epididymis, serving to fertilize an ovum by intracytoplasmic sperm injection. This technique applies to patients with infertility due to no sperm but completely normal sperm production, including cases of vas deferens, congenital bilateral absence of vas deferens.
Sperm aspiration from the epididymis is contraindicated in cases of azoospermia but not due to obstruction.

2. What is azoospermia?

Azoospermia is a condition in which no sperm is found in the semen of a man. The causes of azoospermia are very diverse, it can be because men do not have vas deferens, blocked vas deferens due to infection or sterilization, trauma to the intimate area or impaired ejaculation. Therefore, the technique of sperm aspiration is the solution to infertility treatment to help men become fathers when experiencing azoospermia.

The frequency of male patients coming to fertility clinics at Assisted Reproductive Medicine departments is increasing, and cases of no sperm in semen are also relatively common. In these cases, if there is no intervention with sperm aspiration techniques, they must ask for sperm from a sperm bank, so the wife can become pregnant.
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3. Objectives of sperm aspiration techniques


Sperm aspiration g to get the best quality sperm. Aspiration of enough sperm to fertilize an egg. The damage to the vas deferens must be limited so as not to make it difficult for later sperm retrieval or for vasectomy.

4. What sperm aspiration techniques are there?


Microsurgical epididymectomy (MESA) Percutaneous epididymal sperm aspiration (PESA) Testicular aspiration spermatozoa (TESA) Testicular surgery for sperm (TESE)

5. Steps to perform epididymectomy


Pain relief with pre-anesthesia or local anesthesia. Take a gynecological position Wipe the genitals, groin, thighs and perineal area. Sterile stretch wrap to expose the scrotum for the procedure. Identify and fix the epididymis (usually choose the stretchy, large side). Use a needle to poke perpendicularly into the epididymis, aspirate and pull out the needle at the same time. Check the sperm in the aspiration fluid. Men are given antibiotics after aspiration.
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6. Advantages and disadvantages of PESA . ​​technique


Advantages PESA is a less invasive method, just numbing with local anesthesia, so it can be seen that the sperm aspiration process is not as painful as men think. The success rate is about 65%. It can be performed multiple times, is simple, and the resulting sperm sample is usually low in blood and other cell types. After the procedure, the patient only needs to bandage the puncture site once right after surgery. The next day, the ice can be removed. Antibiotics are usually not needed. Patients only need to take ordinary pain relievers for a short time. Therefore, sperm aspiration from the epididymis is one of the methods of first choice in cases of obstructive azoospermia. Cons Common complications after the procedure are the scrotum, which is sometimes mildly swollen and painful, which lasts for several days. This will not interfere with travel and activities. The patient should wear loose underwear after the aspiration to slightly lift the scrotum. In addition, a scrotal hematoma may occur, but it is usually mild and resolves on its own. Customers can come to the Center for Reproductive Support - Vinmec International General Hospital. This is the leading center in Vietnam, which has developed and applied a comprehensive medical examination and treatment process, combining both gynecology and obstetrics and gynecology to provide the optimal method for each patient's case.
Advantages when customers choose Vinmec fertility center:
Equipped with modern equipment, clean air system according to international standards to ensure lab quality, single cabinet system to optimize quality embryo, improving the success rate for each cycle of artificial insemination. Implement most advanced assisted reproductive techniques in the world: ICSI (injection of sperm into the oocyte cytoplasm); support embryo escape membrane; Reproductive reserve: embryo freezing, sperm freezing, oocyte freezing to help customers take the initiative in giving birth at will, transferring embryos on day 5, minimizing pregnancy; male infertility techniques (PESA, MESA, TEFNA, TESE) Besides advanced reproductive support methods, a team of excellent doctors in the country and the world, with prestige and long-term experience in the field of infertility . Recommended video:


Infertility treatments

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

This article is written for readers from Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.

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