Obstructive Azoospermia and IUI | Motile sperms can be found in Spermatoceles

Men suffering from Infertility are often advised IVF. One subset of these men have Azoospermia. Some of them may be suffering from Obstructive Azoospermia. Spermatoceles and Epidydmal cysts in these men may prove to be a rich source of motile sperms. These sperms can be used for IUI (Intra uterine Insemination). This can be a cheaper more successful alternative for couples.

Dr Vijayant Govinda Gupta is an Andrologist. At our clinic in New Delhi India we have achieved good success with this method. Read below for more.

Case Report

Couple married for 13 years presented with primary infertility. Had already failed 2 cycles of IVF. Previous TESA done in male was successful. 

On investigationon FSH was normal. Normal volume ejaculate. On examination, bilateral vas were absent. Case diagnosed as a case of Obstructive Azoospermia.

On ultrasound and examination large spermatoceles found in both testis.

spermatocele as felt through scrotum before spiration
Spermatocele on examination
What is a spermatocele ?

Spermatocele are cystic structures in the epidydmis which contain sperms. These spermatoceles are usually found in the caput region.
These spermatoceles can be primary or secondary. They are usually associated with obstructive infertility.
Spermatocele - diagram

Can sperms from spermatocele cause pregnancy ?

Yes, aspirates from spermatocele contain healthy sperms. Spermatocele aspirate can be used for IUI. These sessions can lead to healthy pregnancy. Shown below are healthy motile sperms aspirated from a spermatocele.

This couple underwent IUI from these sperms. They underwent 2 sessions at a cost of approximately 200 USD each session. Currently (as on 24 November 2019) the wife is 4 months pregnant.

Medical literature on Spermatocele and IUI can be seen here

Male fertility after spermatocele formation from tunica vaginalis in patients with bilateral vas agenesis (Arab Journal).

Salient Points of Spermatocele and IUI

  • Spermatoceles are a good source of motile healthy sperm
  • They can avoid an expensive IVF
  • Epidydmal cysts should be actively looked for in Obstructive Azoospermia
  • IUI with spermatocele should be first line treatment in such couples

For more information write to admin@drvijayantgovinda.com or Call +919592999184

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