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Testicular Biopsy in Iran As Infertility Treatment

Testicular Biopsy in Iran As Infertility Treatment

Testicular Biopsy in Iran As Infertility Treatment

Male infertility problems are seen in a vast percentage of couples all over the world. Treatment for male infertility is totally related to the cause or the reason of infertility as there is a wide range of different infertility evaluation process and treatments leading to the diagnosis of causes of male infertility.

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Sometimes, the cause is the decreasing ability to produce sperms, therefore, a fertility treatment to increase the productivity of sperms is given to the male partner. Other times, it could be due to hormonal reasons and steps are taken by doctors to alter the hormones in such a way that it naturally increases sperm production. Sometimes, in cases like that of Varicocele, a surgery is required. Varicocele is a dilated vein in the testicular area, which can lead to a decrease in natural sperm production.

A surgical procedure is conducted to improve sperm count and production in case of varicocele. Twelve months of unprotected intercourse is a general guideline before a couple starts to seek fertility treatment and evaluation. For some couples, couples in their thirties, a time frame of six months is generally recommended to get an infertility evaluation done in order to speed up their conception process. Many times, when couples have difficulty in achieving pregnancy, it is because of the male partner.
Contrary to the societal belief that women are usually the problem, studies have found that men can contribute to fertility issues in 40-50 percent of couples. The sperm count is usually the first sign when you may notice that something is wrong. When any kind of abnormalities in a semen sample is observed, it should be evaluated by a fertility specialist. When the percentage of motile sperms is low, or there is the presence of abnormally shaped sperms, it can contribute to abnormal male fertility. Sometimes the treatment options could be medical wherein men may have hormonal imbalance it is when he is given oral medications that usually can correct any type of hormonal dysfunction.
Sometimes, a man can be infertile because of abnormal hormonal secretions relating to a brain tumor, so at times, they may need brain surgery. Other times a surgical treatment is required when the problem is of obstruction, where sperm cannot come out properly. In such cases, surgical procedures are conducted to help sperms come out properly. Sometimes sperm retrieval is done through testicular biopsy where a tissue sample from the testicle is retrieved for laboratory analysis.

Testicular Biopsy Procedure in Iran

Testicular Biopsy is done when a piece or sample of tissues is extracted from the testicles to analyze it in the fertility laboratories. Testicular biopsy or aspiration is usually performed in the cases when a male partner has obstructive azoospermia. In azoospermia and obstruction, sperms are taken either through aspiration or through a testicular biopsy. The sperms are then sent in the IVF labs for performing Assisted Reproductive Technology (ART) methods such as In Vitro Fertilization (IVF) or Intrauterine Insemination (IUI). Usually, the testicular biopsy is performed for males who have obstructive azoospermia. Usually, the patient is discharged on the same day of the procedure. The patient is generally put on an oral course of antibiotics and is advised to avoid doing heavy activities for at least one week.

Types of Testicular Biopsy procedure in Iran

A testicular biopsy is generally performed in order to investigate the cause of male infertility after conducting hormonal assays and semen analysis. The procedure is also performed to evaluate men with risks of testicular cancer. It is to be noted that testicular biopsy is rarely conducted to test testicular cancer as it can lead to the spread of cancer. There are two types of testicular biopsy:

Percutaneous Biopsy:  Percutaneous biopsy is a procedure conducted through the skin and it is also called as fine needle biopsy. A small piece of tissue is taken out of the skin using a small incision. The tissue is then examined at the labs under a microscope. Some blood tests are performed prior to percutaneous biopsy in order to ascertain the risk of bleeding.
Open Biopsy: An open biopsy is performed under sedation and local or general anesthetics to numb the area. In order to expose and remove tissues, a small surgical incision is made through the skin. The biopsy tissue is then examined under a microscope in laboratories. An open biopsy is done at a doctor’s clinic or in a fertility hospital in India. The procedure is performed to ascertain the presence of cancer or any other abnormal cells in the body.

Risks Associated with Testicular Biopsy

The advancement of modern technologies has lessened the risk of testicular biopsy. But the patients should know the side effects or risks associated with testicular biopsy prior to the procedure. The procedure usually has temporary and, in some cases, severe side-effects but if you notice excessive bleeding or infection post procedure, contact The other side effects of testicular biopsy are:

Intolerable pain or swelling in the biopsy area
Blood soaking through the dressing or bandage
Infection at the site of the incision
Discolored scrotum
You can talk to the fertility experts at to discuss possible risk factors associated with a testicular biopsy.

10 common questions about Testicular Biopsy in Iran As Infertility Treatment

1How long does it take to recover from a testicular biopsy?
Recovery from a Testicular Biopsy Instructions will vary depending on the type of biopsy. You may be advised to: refrain from sexual activity for one to two weeks.
2How do you biopsy a testicle?
Testicular biopsy is a procedure in which a small portion of testicle is removed for examination. The biopsy is performed by creating a small incision in the skin of the scrotum. A small piece of the testicle tissue is removed through the incision by snipping the sample off with small scissors
3Can zero sperm count be cured?
In cases where no sperm are present in the ejaculate, sperm can often be retrieved directly from the testicles or epididymis using sperm retrieval techniques. Treating infections. Antibiotics can cure an infection of the reproductive tract, but this doesn't always restore fertility
4What are 5 warning signs of testicular cancer?
Usually, an enlarged testicle or a small lump or area of hardness are the first signs of testicular cancer. Any lump, enlargement, hardness, pain, or tenderness should be evaluated by a doctor as soon as possible. ... Dull ache in the lower abdomen or groin. Sudden buildup of fluid in the scrotum
5Is testicle surgery painful?
Orchiectomy (say "or-kee-EK-tuh-mee") is surgery to remove one or both testicles. ... You can expect to feel better each day, although you may have some mild to moderate pain for several days after surgery. You may need pain medicine during this time. Your scrotum will be swollen after surgery
6Can a man with zero sperm count get a woman pregnant?
Men who don't have sperm in their semen have a condition called azoospermia. It happens to about 1% of all men and 15% of infertile men. There aren't really any symptoms that you'd notice, but if you've been trying to get your partner pregnant without success, this condition could be the cause
7How do you get sperm for IVF?
TESA is a procedure performed for men who are having sperm retrieved for IVF/ICSI. It is done with local anesthesia in the operating room or office and is coordinated with their female partner's egg retrieval. A needle is inserted in the testicle and tissue/sperm are aspirated.
8How long does it take to recover from testicular surgery?
It can take two weeks to two months to fully recover from an orchiectomy. Don't lift anything over 10 pounds for the first two weeks or have sex until the incision has fully healed. Avoid exercise, sports, and running for four weeks after surgery
9Why is testicular biopsy contraindicated?
Recent guidelines for male infertility have limited the indications for a diagnostic testicular biopsy to the confirmation of obstructive azoospermia in men with normal size testes and normal reproductive hormones. ... Testicular biopsy is also performed in men with risk factors for testicular malignancy.
10Why is biopsy test done?
A biopsy is a sample of tissue taken from the body in order to examine it more closely. A doctor should recommend a biopsy when an initial test suggests an area of tissue in the body isn't normal. Doctors may call an area of abnormal tissue a lesion, a tumor, or a mass

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