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Chapter 2 - Evaluation of Candidates for Sperm Retrieval

from Part I - Introduction

Published online by Cambridge University Press:  09 April 2021

By
Darren J. Bryk ,
Neel V. Parekh  and
Sarah C. Vij
Edited by
Ashok Agarwal ,
Ahmad Majzoub  and
Sandro C. Esteves
Ashok Agarwal
Affiliation:
The Cleveland Clinic Foundation, Cleveland, OH, USA
Ahmad Majzoub
Affiliation:
Hamad Medical Corporation, Doha, Qatar
Sandro C. Esteves
Affiliation:
Andrology & Human Reproduction Clinic, Sao Paulo, Brazil
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Summary

There are a variety of management options for male infertility patients. Often, assisted reproductive technology allows for successful pregnancies and live births using an ejaculated semen sample. If the etiology of the infertility precludes a satisfactory ejaculated semen sample, sperm retrieval may be required. Determining if a patient is a candidate for sperm retrieval involves a thorough history and physical exam, semen analysis, endocrine evaluation and, likely, genetic assessment. Men who are candidates for sperm retrieval may be azoospermic or anejaculatory. Understanding the etiology of azoospermia is critical to determining the most effective sperm retrieval approach.

Keywords

sperm retrievalnonobstructive azoospermiaobstructive azoospermiasemen analysis
Type
Chapter
Information
Manual of Sperm Retrieval and Preparation in Human Assisted Reproduction , pp. 9 - 15
Publisher: Cambridge University Press
Print publication year: 2021

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