Androlog Mail
Esteemed Colleagues:
I am currently evaluating a 28 year old gentleman who's semen analyses have
shown excellent sperm counts on 2 occasions (99 and 102 million per mil
respectively) but 0% motility. He is completely normal on physical
examination and has no correctable factors that I can identify. His past
medical history is non-contributory. We have not thus far performed any
additional tests to evaluate sperm viability.
He and his wife are very interested in establishing a pregnancy and are
willing to consider ICSI if this would be of help.
I would be interested in the group's current thoughts on 2 questions:
1) How optimistic are you that HOS (or other techniques) would reliably
identify sperm suitable for ICSI in a case such as this?
2) Does anyone feel any optimism that testis biopsy might yield motile
sperm which could then be used in an ICSI procedure?
Your thoughts on this would be much appreciated.
-Andy Meacham
Denver, Colorado
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Randall B. Meacham, MD
Associate Professor and Residency Program Director
Department of Surgery, Division of Urology
Director of Male Reproductive Medicine and Surgery
University of Colorado Health Sciences Center
4200 E. 9th Av., Box C-319
Denver, Colorado 80262
Email: randall.meacham@uchsc.edu
Academic Office: Phone 303-315-5939, Fax 303-315-7611
Clinic: Phone 303-372-1483
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