ICSI for Low Sperm, TESA for Azoospermia

Intracytoplasmic Sperm Injection (ICSI)

Complex cases, very low sperm counts (less then 5 million motile sperm in ejaculate), failed inseminations and cases of azoospermia are indications for IVF with ICSI (single sperm injected inside the egg).

Azoospermia and TESA

In the past, men with no sperm in the ejaculate (azoospermia) never fathered a biological child. TESA, procedure to recover sperm from testes followed by ICSI (sperm injection inside the egg), now offers 50% pregnancy rates for azoospermic men.

With TESA, small needle is used to sample testicular tissue with no bleeding and no stitches needed. Sperm obtained from the testis is too immature and weak to be used for insemination. ICSI is a technique of choice to fertilize eggs with testicular sperm. TESA sperm can be cryopreserved (frozen) and stored for the future use with over 80% recovery rate. TESA is effectively used for men who earlier underwent vasectomy and superior to reversal surgery.

Our Services

Learn more about the services provided by Hanna Jesionowska, MD, and Manhattan Reproductive Medicine.

IVF Cycle

IVF Cycle

Ovarian stimulation with fertility medications, eggs (oocytes) retriev...

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In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF)

The first In-Vitro Fertilization (IVF) baby was born in 1976 in Englan...

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Poor Eggs

Egg Quality

Female hormonal imbalance and poor oocyte (egg) quality are responsib...

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Male Infertility

Semen analysis is a test to examine sperm quality. Male factor diagnos...

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Female Infertility

Female Infertility

Female infertility is caused by poor ovulation (female making egg), da...

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Egg Donation

Egg Donation

Older women who want to get pregnant utilize donor eggs (oocytes) the ...

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Recurrent Miscarriages

Recurrent Miscarriages

Recurrent miscarriages and pregnancy loses (RPL) at different stages o...

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Other Services

Other Services

Single Motherhood Egg Freezing Embryo Adoption...

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