Reproductive Medicine - Clinical Services

Reproductive Andrology

We provide a holistic management of male subfertility which includes investigations and treatment of sexual dysfunction in men as well as conditions such as low/absent sperm count.

Investigations conducted in our centre include:

• Semen analysis
• Hormonal assessment
• Genetic studies
• Ultrasonography
• Testicular biopsy

Most couples with subfertility related semen abnormalities are ultimately managed by assisted conception. However, surgical sperm retrieval may be needed in azoospermic (absence of sperm in semen) patients. Sperm retrieval is successful in almost 100% of obstructive azoospermia cases. The procedures are performed through the skin using microsurgical techniques.

Clinical services:

1. Surgical sperm retrieval procedures
   
   1. Testicular Sperm Aspiration (TESA)
      A process whereby a fine needle is passed through the skin of the scrotum into the testis, under local anaesthesia/sedation. Testicular tissue is aspirated and given to the embryologist, who will examine the specimen under a microscope to look for sperm and retrieve it.
   2. Microsurgical Epididymal Sperm Aspiration (MESA)
      A process of harvesting sperm from the epididymis, a sperm rich tube at the back of the testis in men who have no sperm in their ejaculate due to an obstruction in the ejaculatory passage or absence of the ejaculatory passage.
   3. Testicular Sperm Extraction (TESE)
      A process of obtaining sperm directly from the testis. It involves removing small samples of testis tissue for processing and eventual extraction of sperm. This is useful in cases of extremely low sperm production.
2. Sperm storage for Fertility Preservation
3. Electroejaculation programme for men with ejaculatory disorders or spinal cord injury / disease
4. Donor Sperm Programme