Sperm Aspiration & Retrieval » Southwest Fertility Center for Men

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To help you make your visit to the Southwest Fertility Center for Men as comfortable as possible, Dr. Kuang wanted to introduce his team to you so that the faces are at least a little more familiar on the day of your office visit.

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Glossary of Terms

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Vasectomy Reversal

Sperm Aspiration & Retrieval

Testimonal
“We would absolutely recommend other couples to pursue IVF who face the challenge of obstructive azoospermia. Our advice for other couples considering IVF is to be mentally prepared for set backs, but good things can happen if you’re tenacious. It’s amazing to be part of this generation where medical innovations make the impossible >possible. We recommend Dr. Kuang and his staff without hesitation, YES! Dr. Kuang and his staff were genuine professionals and advocates for us through the whole journey. “

J & E (Albuqerque, New Mexico)
Azoospermia. Office sperm retrieval 01/17/07
IVF cycle 08/08
Pregnant 10 months later.
Baby born on 03/26/09

Sperm Retrieval

Sperm retrieval is reserved for the most severe cases of male infertility. The most common reason for sperm retrieval is when men have no sperm in their ejaculate (azoospermia). This can be due to a blockage in the plumbing (ex. Vasectomy) when the “sperm factory” or testicle is producing healthy amounts of sperm. This is “Obstructive Azoospermia.” The other situation is when the plumbing is wide open but sperm production is not occurring properly. This is “Non-Obstructive Azoospermia.” The success rates of sperm retrieval mostly depend on how well sperm are being produced.

Sperm Retrieval with ICSI, not IUI

Sperm retrieval with Intracytoplasmic Sperm Injection (the most commonly used form of In Vitro Fertilization) may be the treatment of choice or the only treatment available to certain couples. It is important to clarify that sperm retrieval is not used in conjunction with Intrauterine Inseminations (IUI). Sperm retrieval does not yield the millions of sperm that are needed for an IUI. Sperm retrieval focuses on getting enough sperm so that a single sperm can be chosen to be injected into a single egg to make an embryo.

What Types of Sperm Retrieval Are There?

A quick review of a man’s anatomy reminds us that behind the testicle (“sperm factory”) is the epididymis. This structure acts as a “refinery” where last minute touch-ups and adjustments are made to the sperm. Sperm can be retrieved from either the testicle or the epididymis depending on his reproductive capacity.

There are five main ways of retrieving sperm that each have their own peculiar acronyms:

1. MESA: MicroEpididymal Sperm Aspiration

2. PESA: Percutaneous Epididymal Sperm Aspiration

3. TESA: Testicular Sperm Aspiration

4. TESE: Testicular Sperm Extraction

5. Micro-TESE: Microsurgical Testicular Sperm Extraction

An aspiration is when tiny catheters are used to gently “suck” up sperm when they are in in the pipes of the epididymis or back in the testicular sperm factory. An extraction is when a small incision is make in the scrotum. A window is then opened over the testicle so that tiny pieces of sperm-producing tissue can be retrieved (each is the size of kernel of rice).

Which Option is Best for Us?

Having so many options is great because “one size does not fit all.” A comprehensive male fertility evaluation and a careful discussion with you and your partner will determine which option is the safest and the most efficient way to locate and retrieve sperm for you. Each option has its advantages and disadvantages:

As you can see, a lot of factors go into choosing the best option. At the Southwest Fertility Center for Men specializes in offering you all of these options. This is made possible by Dr. Kuang’s microsurgical expertise that opens up all these options for you.

Testimonal
“We were excited to find out we were pregnant. It will bring more joy and will change our lives. Our advice for couples looking at IVF is be prepared. It’s not easy to do IVF but it is worth it. Yes we would absolutely recommend Dr Kuang.”

J & J (Albuquerque, New Mexico)
Vasectomy 14 years ago. Sperm Retrieval 07/09/2008.
Baby born 05/01/2009.
Click here for after a vasectomy
Click here for ivf or icsi
Click here for azoospermia no sperm

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Our Mission

While our focus is optimizing a man's reproductive capacity, we recognize how critical it is to take into consideration the needs of your partner, her reproductive timetable and background. We look forward to sitting down with you both and educating you about your options to help you make a safe and balanced decision as you build a healthy family.

What our Patients Say

"The sperm retrieval with in vitro fertilization was the best option for us because this is the only and most effective way that we can have a biological kid of… >>

"The vasectomy reversal was our best treatment option because it was the only way to reverse vasectomy. Our advice for other couples who are looking at IVF or vasectomy reversal… >>

"We decided on the IVF instead of the vasectomy reversal because my vasectomy was more than 20 years ago. The concerns we had about the vasectomy reversal was it had… >>

"Sperm retrieval with IVF was the best option for us because we have low motility in sperm after having the vasectomy reversal. The concerns we had with the vasectomy reversal… >>

"My husband had his vasectomy at 21 years old. We are both still relatively young and that's why we chose the vasectomy reversal. We felt that the vasectomy reversal would… >>

"The vasectomy reversal was the best treatment option for us because I had a vasectomy, remarried and we wanted a child naturally. The In Vitro Fertilization seemed less desirable. If… >>

"The vasectomy reversal was the best option so that we could try naturally to conceive. The concerns with the In Vitro Fertilization was too expensive and not 100% effective, (no… >>

"We were so excited to find out we were pregnant and that it happened so quickly. We are very excited to expand our family. We found out by taking a… >>

"Two vasectomy reversals didn't work (done elsewhere in Texas). We were out of sperm retrieved at the 2nd reversal so the sperm retrieval was our last option. The concerns we… >>

"It was incredibly exciting-I don't think our feet have touched the ground yet! We did a home pregnancy test at 5am! Needless to say we did not go back to… >>

"It was incredibly exciting to find out we were pregnant as my wife and I thought it would take much longer than it did. We were both amazed and grateful.… >>

"For us a vasectomy reversal was the best treatment option since IVF was out. IVF was not an option since my wife had too few follicles. Dr. Kuang is awesome!..caring… >>

"Sperm retrieval for IVF was the best option for us since it was easier than a vas reversal. My biggest concern about a vasectomy reversal was the need to have… >>

"Vasectomy Reversal was the best treatment option because the cost/success ratio was better than in vitro (IVF). The high cost/low success rate. Dr. Kuang made us feel at ease right… >>

"We were speechless to find out we were pregnant. Then ecstatic and exited about a baby we wanted so much. This will change our lives in all good ways-We cannot… >>

"Vasectomy reversal was the best treatment option for us since it has a lower risk of multiple births and is ultimatley less expesive. What concerns us about In Vitro Fertilization… >>

" Bantering with Wayne Kuang- (Good Guy) made the experience comfortable. Dr Kuang made me feel good my first visit. He is a great guy. The staff make me feel… >>

"We would absolutely recommend other couples to pursue IVF who face the challenge of obstructive azoospermia. Our advice for other couples considering IVF is to be mentally prepared for set… >>

"It was awesome to find out we were pregnant using a test. We had our vasectomy reversal on 01/16/2008 and were pregnant 6 months later. She was born on 04/17/09.… >>

"It was GREAT to find out we were pregnant. We used EPT to find out. We had our vasectomy reversal on September 5, 2007 and were pregnant 14 months later.… >>

'It was a relief to find out we were pregnant. We knew we would eventually, but it was a surprise and a blessing to happen so soon. We found out… >>

"Vasectomy Reversal changed our lives because I am now able to have kids, whereas before I couldn't. I would recommend Dr Kuang because within months of my Vasectomy Reversal, my… >>

"We have 2 children. After our sons difficult birth we had a vasectomy, 5 yrs later we feel we are prepared to go through challenges to have more children.We want… >>

"We were excited to find out we were pregnant. It will bring more joy and will change our lives. Our advice for couples looking at IVF is be prepared. It's… >>

"I decided to have a vasectomy reversal when we realized we wanted more kids. Our biggest concern was the success of the vasectomy reversal procedure. I like the guy. We… >>

"It was very exciting to find out we were pregnant! We were over joyed. We anticipate life will get busier but more fulfilling. Our advice to couples who are having… >>

"Our advice for couples is don't give up. Your life will change and bring wonderful new challenges. Dr. Kuang helped guide me throughout the entire process. Dr Kuang treated us… >>

"The vasectomy reversal changed our lives because the vasectomy reversal enabled us to become prgnant within months. Changing our life is an understatement. My wife and I can now share… >>

"The desire to start a new family helped us make the final decision to have a Vasectomy Reversal. Our biggest concerns were location, expertise and cost. We chose Dr Kuang… >>

"After having a vasectomy, we decided on a sperm retrieval for IVF. My biggest concerns were complications and pain. Dr Kuang involves confidence and eased my mind. Sonja, his fertility… >>

"Vasectomy Reversal was our best option because it was not very long after my vasectomy. It seemed like the Reversal would be our 1st and best option. Our advice for… >>

"We chose Dr. Kuang because he was recommended. After my first visit with Dr. Kuang I could tell his experience was good. I was very confident in his abilities when… >>

"My wife and I have been trying to get prgnant now for 2 yrs through sperm donor and insemination. It wasn't working, so this was the next step. We chose… >>

"My procedure involved a biopsy to see if sperm were present in order to conceive. I was concerned about price and finding a proficient doctor who performed a range of… >>

"We had much to celebrate this year thanks to Dr. Kuang. My wife and I had a baby girl on March 26. We were shocked and delighted how quickly the… >>

"We wanted to have kids. I met with some fertility doctors, but they felt more like salesmen then medical professionals. I wanted to find someone good whom I could trust.… >>

"I got married and wanted to start a family. Dr. Kuang came highly recommended. He is very personable, professional and intelligent. He doesn’t talk down to his patients. On the… >>

"We wanted to have another child. I was concerned about the percentage of success of a reversal. Dr. Kuang was very professional and kind. I would definitely recommend him for… >>

"I got re-married and really missed being a daddy. I was concerned about the cost of vasectomy reversal, the probability of a successful outcome and how extensive the procedure was.… >>

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Quick Question

Doc, it’s been more than 10 years since I had my vasectomy. Is it true that I can still have a vasectomy reversal?

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