1 in 7 couples deal with infertility – inability to conceive with unprotected intercourse.
A male infertility factor will be identified in up to 50% of cases.
Dr. Petrella offers a detailed and personalized treatment for all your fertility issues.
Causes of infertility:
30% male only factor
20 % combined
40 % female only factor
10% unexplained
What investigations can I expect?
- Detailed history and physical exam to better understand your current fertility journey.
- Be ready to answer questions about how long you have been trying to conceive, previous surgeries and what supplements or medications you are taking.
- Semen analysis – analyzing semen under a microscope to analyze sperm quantity and characteristics. We recommend abstaining for 2-5 days prior to analysis.
- Blood tests: determining if the brain is sending appropriate signals to the testes for testosterone and sperm production.
- Genetics tests.
Cause of infertility?
- Abnormal sperm count or motility
- Absence of sperm
- Varicocele
- Previous chemotherapy and radiation therapy
- Lifestyle habits, nutrition, heat and chemical exposure
- Previous infections
Treatment options?
- Hormonal and lifestyle optimization
- Microscopic varicocele correction
- Microdissection testicular sperm extraction (mTESE)
Micro-TESE is an advanced surgical technique for retrieving sperm in non-obstructive azoospermia. A skilled urologist uses a microscope to identify and extract viable sperm from tiny tubules in the testicles. This method maximizes the chances of success for assisted reproductive technologies, offering hope to those struggling with infertility. - Microsurgical epididymal sperm aspiration (MESA)
MESA is a precise procedure to retrieve sperm from the epididymis. It’s used when the vas deferens is blocked or damaged, hindering sperm release. MESA helps couples with male infertility pursue IVF or ICSI, offering hope for starting a family.
Advantages of MESA compared to PESA include retrieving larger quantities of sperm (which can be frozen), causing less damage to the epididymis, and posing a lower risk of inadvertent bleeding.
Cause of infertility?
- Abnormal sperm count or motility
- Absence of sperm
- Varicocele
- Previous chemotherapy and radiation therapy
- Lifestyle habits, nutrition, heat and chemical exposure
- Previous infections
Treatment options
- Hormonal and lifestyle optimization
- Microscopic varicocele correction
- Microdissection testicular sperm extraction (mTESE)
Micro-TESE is an advanced surgical technique for retrieving sperm in non-obstructive azoospermia. A skilled urologist uses a microscope to identify and extract viable sperm from tiny tubules in the testicles. This method maximizes the chances of success for assisted reproductive technologies, offering hope to those struggling with infertility. - Microsurgical epididymal sperm aspiration (MESA)
MESA is a precise procedure to retrieve sperm from the epididymis. It’s used when the vas deferens is blocked or damaged, hindering sperm release. MESA helps couples with male infertility pursue IVF or ICSI, offering hope for starting a family.
Advantages of MESA compared to PESA include retrieving larger quantities of sperm (which can be frozen), causing less damage to the epididymis, and posing a lower risk of inadvertent bleeding.
Service
Vasectomy reversal
Vasectomy reversal is a technically demanding microsurgical procedure designed to reestablish the flow of sperm through the vas deferens, the tubes that transport sperm from the testicles out through the penis in order to achieve natural conception.
More info
Book an appointment
with Dr. Petrella
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