SPERM RETRIEVAL FROM EPIDIDYMAL SPERM ASPIRATION (PESA)

Male infertility can arise when semen is ejaculated without spermatozoa, which can be caused by various factors such as blocked sperm ducts, congenital sperm duct anomalies, abnormal sperm ejaculation, or the presence of non-viable spermatozoa due to infections like epididymitis.

Suitable for who?

1. Obstructive Azoospermia:

Men with blockages in the epididymis or vas deferens, which prevent sperm from being ejaculated naturally.

2. Failed Vasectomy Reversal:

Men who have undergone a vasectomy and subsequent reversal surgery that was unsuccessful in restoring sperm flow.

3. Congenital Absence of Vas Deferens:

Some men are born without the vas deferens (the tube that carries sperm from the testicles). PESA can retrieve sperm directly from the epididymis in these cases.

4. Non-obstructive Azoospermia (in certain cases):

In some instances of non-obstructive azoospermia, where sperm production in the testes is impaired but sperm are present in the epididymis, PESA may be attempted to retrieve viable sperm for assisted reproductive techniques like IVF or ICSI.

As a Backup Option: PESA may also be considered as a backup option in cases where other sperm retrieval methods (such as testicular sperm extraction – TESE) are not feasible or have failed.

Testicular Sperm Extraction (TESE)

Testicular Sperm Extraction (TESE) takes tiny slivers of tissues from the testis to extract sperm under a microscope. TESE is a procedure suitable for patients who lack sperm in their semen due to various reasons such as obstructive azoospermia, non-obstructive azoospermia, inflammation of the testicular tubes, absence of sperm in the epididymis, and genetic abnormalities. These is often of low quantity and sometimes immature (spermatid). Sperm are collected and cultured in a laboratory until they mature into fully developed sperm, which are then used for intracytoplasmic sperm injection (ICSI). This process provides patients with a chance to conceive offspring in the future.

Suitable for who?

1. Obstructive Azoospermia

This condition occurs when there is a blockage in the tubes that carry sperm (epididymis or ejaculatory ducts), preventing sperm from being ejaculated despite normal sperm production in the testes.

2. Non-Obstructive Azoospermia

In this case, there is no blockage in the tubes, but the testicles do not produce sperm due to issues such as genetic abnormalities or testicular failure.

3. Epididymal Inflammation

Inflammation of the epididymis can impair sperm transport, leading to a condition where sperm cannot reach the ejaculate.

4. Previous Vasectomy

TESA can be used to retrieve sperm from the testicles of men who have undergone a vasectomy and wish to have children through assisted reproductive techniques.

5. Genetic Abnormalities

Conditions such as Klinefelter syndrome or other genetic disorders affecting sperm production may also necessitate the use of TESA to retrieve sperm directly from the testes.

Our Services

SEMEN ANALYSIS

SPERM FREEZING

SPERM MACS

SWIM UP

PESA/TESE

PRP

HPV

DFI

GRADIENT

SPERM WASHING

Why Choose Lavida?

1. A Name That Resonates with Life

Our name, "Lavida," meaning "life" in Spanish, is more than just a title—it’s a reflection of our commitment to fulfilling your family life and enhancing every aspect of your well-being.

2. Professional Team

LaVida’s medical team has been in the fertility field for many years. The doctors are all graduates from the top-notch universities in Thailand and have overseas experiences. They are key to our success and pioneer position in the field.

3. Top standard laboratory

Lavida's lab is equipped with Class 10,000 air and 25 exchanges per hour. We acknowledge that air quality in IVF labs can have significant consequences. So, a Class 10,000 cleanroom environment is one of the steps we've made to provide excellent implantation services and increase implantation success rates.

4. Personalized and Compassionate Care

Our team is committed to delivering personalized care with a focus on your unique health goals. We take the time to understand your needs, providing compassionate support and creating a customized plan that helps you achieve and maintain optimal well-being.

5. A Commitment to Your Quality of Life

At Lavida, our priority is to enhance your quality of life. We go beyond conventional care, aiming to inspire and empower you to live fully and healthily, ensuring that your journey with us is as rewarding as it is transformative.

6. A Commitment to Your Quality of Life

clinic and laboratory

You will have private consultations with our doctors and nurses to discuss treatment plans and receive accurate and effective diagnoses and treatments.

After egg retrieval, you will have the opportunity to rest in our recovery zone within the clinic. Here, you will be closely monitored and cared for by our medical team and nursing staff.

All equipment and tools used in our clinic meet hospital standards. Our laboratories are equipped with state-of-the-art tools and equipment imported from abroad. Eggs and embryos collected undergo meticulous processes in our clinic to develop into embryos ready for transfer.