Androlog Mail:
>For a man with 100% immotile sperm in the ejaculate, of which 10% are live,
>are pregnancy rates better with ICSI ( after selecting live sperm with a
>hypo-osmotic swelling test); or is it better to offer TESE-ICSI ( ICSI with
>testicular sperm extraction )?
>Dr Malpani, MD
For 100% immotile sperm with 10% viability I recommend TESE/ICSI. The
viability of testicular sperm is likely to be better. I recommend checking
the vas and epididymis first for motile sperm since immotile sperm in the
ejaculate could be due to partial (but almost complete) obstruction.
Sincerely,
Marc Goldstein M.D.
Professor of Urology
Cornell University Medical College
Director,
Center for Male Reproductive Medicine
and Microsurgery
The New York Hospital-Cornell Medical Center
Department of Urology, F900
525 East 68th Street
New York, N.Y. 10021
E-mail: mgoldst@mail.med.cornell.edu
Tel: 212 746-5470
Fax: 212 746-8153
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