Beyond IUI, IVF and ICSI - New developments in - eshre 2013
Beyond IUI, IVF and ICSI - New developments in - eshre 2013
Beyond IUI, IVF and ICSI - New developments in - eshre 2013
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Unexpected Azoospermia at OPU<br />
Will appear more often <strong>in</strong> :<br />
1. crypto azoospermia cases<br />
2. Reversal of vasectomy<br />
Meniru et. Al, 1997<br />
Unexpected Aspermia at OPU<br />
May appear unrelated to sperm characteristics<br />
The occurrence of unexpected aspermia<br />
Rare event. Less than 0.5%<br />
Assaf Harofeh, TAU<br />
The occurrence of unexpected azoopermia<br />
Rare event. About 0.5%<br />
Assaf Harofeh, TAU<br />
Number of treated cycles <strong>in</strong> Assaf Harofeh, TAU is 1100-1200 per year<br />
Approaches to overcome the problem<br />
In cases of aspermia<br />
1. Repeated sperm emission at the cl<strong>in</strong>ic<br />
2. Repeated sperm emission outside the cl<strong>in</strong>ic (home, hotel)<br />
33. Repeated sperm emission by coitus – us<strong>in</strong>g a medical condom<br />
a condom without spermicidal agents<br />
4. Use of Sildenafil (Viagra) <strong>in</strong> case of erectile dysfunction<br />
Time frame:<br />
1-9 hours post OPU time.<br />
This is the <strong>in</strong>terval period for <strong>in</strong>sem<strong>in</strong>ation without compromis<strong>in</strong>g the<br />
oocyte quality, e.g. fertilization rate <strong>and</strong> embryo quality are unchanged<br />
Fisch et al, 1989<br />
Page 78 of 127
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