An azoospermic male can father a child

ABSTRACT

This study included 184 azoospermic men who visited Baqai Institute of Reproduction and Developmental Sciences [BIRDS] during a period of 20 months [October 1997 to July 1999]. Sperms were retrieved in 65 men by Percutaneous Epididymal Sperm Aspiration [PESA] and in 28 men by Testicular Sperm Excision [TESE]. Motile sperms were obtained in 42 men by PESA [65%] whereas in 9 men by TESE [32%]. Intra Cytoplasmic Sperm Injection [ICSI] was used in 28 cases where sperms were obtained by PESA. 252 oocytes were injected by ICSI and fertilization was noted to be 67.5%. Sperms obtained through TESE were used in 25 cases ofICSI. 289 oocytes were injected and fertilization was 61.6%. Patients were selected after full investigation and counseling. Patients having high serum FSH level and atrophied testis were not included in the study. Four pregnancies were obtained in PESA cases [14.2%] and 6 pregnancies in TESE cases [24%]