COMPARATIVE STUDY OF INTRACYTOPLASMIC SPERM INSEMINATION OUTCOME, THROUGH SPERM RETRIEVAL PROCEDURES IN MEN WITH AZOOSPERMIA

Abstract

Azoospermia is complete absence of spe rms from the ejaculate. It is present in about 1 % of al l men and 10 - 15% of infertile men. The main conce rn is to find success rate of res! procedure in \vhich sperms are either retrieved through Percutaneous Epididymal Sperm Aspirate (Pesa) and Testicular Biopsy so, that the patients suffering from azoospermia can benefit frol11 the study and will know whi ch is the treatment of choice for them. In this retrospective study, the infertile coupl es were divided into two categories firstly, a total of 105 subjects undergoing leSI with motile and immotile sperms retrieved through Pes a and Biopsy. Second ly, 102 subjects on the basis of female age were divided into older and younger age group and they also underwent the procedure ofleSI with sperms retri eved through Pesa and Biopsy. The subjects who underwent the IeSI procedure with moti le sperms retrieved through Biopsy had highly significant (P<O.OOl) cleavage rate, pregnancy rate and li ve birth rate. Significantly higher (P<O.05) pregnancy rate and live birth rate was observed in the female of older age group undergoing leS] with sperms retrieved through Biopsy. Therefore, the motility of the sperms of male partner and good ovarian rese rve 01" the female paI1ner do play an important role in the success of the Intracytoplasl11 ic sperm inj ection procedure