Azoospermia is the absence of spermatozoa in ejaculate even after
semen centrifugation at least two times. Azoospermia due to
spermatogenic failure – non-obstructive azoospermia (NOA)
observed in 1% of population and in 10–15% of infertile men.
Predictive factors for the presence of spermatozoa in testis are
still under debate. The development of ICSI revolutionized
management of azoospermia. In our practice we advised TESA as
a first step and FSH can predict the success. According serum
FSH levels we divided our men in three groups: FSH < 10 mU/ml,
10–15 mU/ml and > 15 mU/ml. We tried to evaluated SRR in
accordance serum FSH level and find significant difference. In
117 men with FSH < 10 mU/ml SRR was 66% (in 77 cases), in
89 men which FSH was 10–15 mU/ml SRR was 27 % and
finally SRR was 35% when FSH was > 15 mU/ml (45 cases
from 131). At the same time, we make embryologist personal
assessment (EPA) and try to show embryologist crucial role in
tissue assessment after TESA. Another crucial point of discussion –
histomorphology within the testis in NOA and indications for
re – TESA after 3–6 months.
Real Time Impact Factor:
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Author Name: A. Khelaia
URL: View PDF
Keywords: azoospermia, infertility, embryologist
ISSN: 2307-5279
EISSN: 2709-5576
EOI/DOI: DOI 10.26641/2307-5279.25.2.2
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