Male infertility can be a challenging issue for couples trying to conceive, and sperm retrieval procedures, such as Microepididymal Sperm Aspiration (MESA), offer a solution for men with blocked vas deferens. MESA is a procedure designed to obtain sperm directly from the epididymis and is commonly performed in men with vasal obstruction. With MESA, doctors can retrieve sperm, which may have poor motility, and proceed with Intracytoplasmic Sperm Injection (ICSI) on the same day to increase the chances of successful fertilisation.
What is MESA?
MESA, or Microepididymal Sperm
Aspiration, is a procedure designed to retrieve sperm from the epididymis in
men who have a diagnosed blocked vas deferens. It is normally carried out under
general anaesthetic, although it can also be performed with a local anaesthetic
and intravenous sedation. The sperm retrieved from the epididymis usually has
poor motility, so doctors typically proceed to Intracytoplasmic Sperm Injection
(ICSI) on the same day.
Compared to other sperm
retrieval procedures, such as PESA (Percutaneous Epididymal Sperm Aspiration),
TESA (Testicular Sperm Aspiration), and TESE (Testicular Sperm Extraction),
MESA is most commonly performed in men with vasal obstruction. During the
procedure, a scrotal skin incision is made, and the testis and epididymis are
exposed. Using an operating microscope, a single epididymal tubule is opened,
and sperm is aspirated.
Indications for MESA include
cases of blocked vas deferens, previous vasectomy, or other causes of
obstructive azoospermia. Epididymal sperm aspiration and in-vitro fertilisation
(IVF) with ICSI is an established treatment for obstructive azoospermia. Sperm
aspiration can be performed with either an incision or percutaneously, and a
mini-incision technique has been developed to control costs, minimise
morbidity, and retain the advantages of both approaches.
With MESA, fresh Best IVF Centres in India can be retrieved in a majority of patients, and excess motile
spermatozoa can often be cryopreserved for future use. This makes MESA an
effective option for those dealing with male infertility issues and seeking a
solution to improve their chances of successful fertilisation.
How is MESA Done?
The MESA procedure involves
several steps to retrieve sperm from the epididymis in men who have a diagnosed
blocked vas deferens. It is typically carried out under general anaesthetic,
though local anaesthetic with intravenous sedation may also be used. The sperm
retrieved from the epididymis usually has poor motility, so doctors often
proceed to ICSI on the same day to improve the chances of successful
fertilisation.
First, a scrotal skin incision
is made to expose the testis and epididymis. An operating microscope is then
used to examine the very small tubules of the epididymis that contain the
sperm. A dilated tubule is opened, and the fluid is collected and examined for
the presence and quality of sperm. In some cases, a mini-incision technique has
been developed to control costs, minimise morbidity and retain the advantages
of both incision and percutaneous approaches. This technique involves a 1 cm
incision with local anaesthesia to provide spermatozoa for concurrent IVF
cycles.
The success rate of sperm
retrieval with MESA is high, with fresh epididymal spermatozoa retrieved in the
majority of patients. Excess motile spermatozoa can often be cryopreserved for
future use, with an average of 4.8x10 6 motile spermatozoa banked. Recovery
time and potential side effects vary depending on the individual, but overall,
MESA is an effective and well-established treatment for obstructive
azoospermia.
MESA and IVF Treatment
In vitro fertilisation (IVF) is
an established fertility treatment that helps couples conceive by facilitating
fertilisation, embryo development, and implantation. MESA plays a crucial role
in providing sperm for IVF treatment, especially in cases of male infertility
due to blocked vas deferens or other causes of obstructive azoospermia. The
retrieved sperm, which usually has poor motility, is then used in combination
with Intracytoplasmic Sperm Injection (ICSI) to increase the chances of
successful fertilisation.
ICSI is a procedure that
involves injecting a single sperm cell directly into the cytoplasm of an egg.
This technique is particularly beneficial for those with low sperm motility, as
it bypasses the need for sperm to travel through the female reproductive tract.
When used in conjunction with MESA, ICSI has been shown to improve the success
rates of fertility treatments, leading to higher chances of conception.
IVF and surrogacy costs can
vary depending on numerous factors, such as the specific fertility treatments
required, the geographic location, and the individual needs of the patient.
These costs may include expenses related to consultations, fertility
medications, and laboratory fees. In India, for example, the cost of MESA
treatment and IVF procedures can range from affordable to more expensive
options, depending on the chosen fertility centre and the complexity of the
case. It is essential for patients to thoroughly research and compare the costs
of different fertility clinics to find the most suitable option for their
needs.
MESA Treatment at Vinsfertility
At Vinsfertility , patients
seeking fertility treatments, such as MESA, can expect to receive expert care
from experienced professionals. This top-ranked hospital in the United States
is known for its expertise in diagnosing and treating complex medical
challenges. Vinsfertility offers
comprehensive fertility treatments, including IVF, ICSI, IUI, and other options
for couples seeking to conceive.
One of the advantages of
undergoing MESA treatment at Vinsfertility is the access to cutting-edge research and
technology, ensuring optimal patient outcomes. The clinic's commitment to
research and education helps provide the latest advancements in fertility
treatments to its patients. Additionally, Vinsfertility extends its services to patients around the
world, offering international services to ensure that individuals from various
regions can benefit from its expertise.
In cases where MESA treatment
is necessary, patients can trust that they are in good hands at Vinsfertility .
The procedure, which involves retrieving sperm from the epididymis in men with
a diagnosed blocked vas deferens, is typically carried out under general
anaesthetic. However, the clinic also offers local anaesthetic with intravenous
sedation, depending on the individual's needs. With high success rates and
excellent quality of retrieved spermatozoa, MESA at Vinsfertility improves the chances of successful
fertilisation for many couples struggling with male infertility issues.
While surrogacy and IVF costs
can vary depending on numerous factors, such as specific fertility treatments
required and geographic location, Vinsfertility remains dedicated to offering the
best-in-class fertility treatments to patients at a competitive cost. By
choosing Vinsfertility for MESA
treatment and other fertility services, couples can be confident that they are
receiving the highest standard of care and expertise to help them achieve their
dream of starting a family.
Discover Fertility Solutions
As we've seen, MESA offers an
effective solution for men with blocked vas deferens, retrieving sperm directly
from the epididymis for use in IVF treatment. Combining MESA with ICSI can
significantly improve the chances of successful fertilisation. Vinsfertility is renowned for its expertise in diagnosing
and treating complex medical challenges, including fertility issues. By seeking
consultation with Vinsfertility 's fertility specialists, you can receive
personalised treatment options tailored to your unique situation. For more
information on MESA and other fertility treatments, visit Vinsfertility 's
website .
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