RESUMO
ICSI allows use of epididymal or testicular sperm in case of azoospermia. The aim of this study is to propose an algorithm for the management of the different situations of azoospermia according to our personal experience and according to data of literature. The following points are discussed: epididymal or testicular origin of sperm, retrieval technique, contribution of freezing, interest of in vitro culture, side effects and need of a preliminary biopsy. So a therapeutic strategy adapted to both types of azoospermia obstructive and non obstructive can be proposed.
Assuntos
Inseminação Artificial Homóloga/métodos , Oligospermia , Biópsia , Criopreservação , Epididimo/citologia , Humanos , Masculino , Preservação do Sêmen , Manejo de Espécimes , EspermatozoidesRESUMO
Indications of transcervical metroplasty are uterine septa, synechia, DES-exposed and hypoplastic malformed uterus. These operative procedures give good anatomic and functional results. The pregnancies obtained must be considered as high risk.
