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  1. #1
    littlesunflowers's Avatar
    littlesunflowers is offline It's not about the seeds - it's how you grow the flowers
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    Default Sperm retrieval - TESA vs TESE

    Has anyone gone through both a TESA (aspiration of fluid via needle) and a TESE (surgical extraction of tissue)? If so how did the results compare?

    We're not sure yet if we want to go ahead with a TESE after a TESA found maturational arrest and no spermatids, let alone sperm.

  2. #2
    EternalOptimist's Avatar
    EternalOptimist is offline Never say you have failed until you have reached your last attempt; never say you have reached your last attempt until you have succeeded.
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    Littlesunflowers: So sorry to hear you are in this situation. My DH has Azoospermia but his is classified as “obstructive” due to him being a carrier of the CF gene and missing his Vas Deferens. We have undergone both the TESA and the TESE. So far we have done two separate TESA, as we only ever retrieve very minimal numbers of sperm at each TESA, literally around 50 individual sperm with a high number of these being dead, so we need to undergo the TESA each time i do a fresh cycle. On our third fresh stim cycle our FS recommended trying the TESE with another specialist at our clinic who specialises in the TESE and whilst we only retrieved the same number of sperm, there was definitely a huge improvement in the quality. I hyper-stimulated on this cycle so we were not able to have a fresh transfer, however i am now 29 weeks pregnant with a FET from the sperm that was retrieved using the TESE procedure.

    All the best with your decision and i really hope that they can find some sperm for you.

    As a side note, my DH said there was very little pain difference in the TESA and the TESE.

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    littlesunflowers  (01-08-2012)

  4. #3
    littlesunflowers's Avatar
    littlesunflowers is offline It's not about the seeds - it's how you grow the flowers
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    Thanks - that's useful to know. Well done you and your DH - this is such an uncertain condition to work with!

    Anyone else have any relevant experience...?

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    Elestrial's Avatar
    Elestrial is offline recognising possibilities again. Thank you God!
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    Hi,
    we did the TESA and got no swimmers. We decided against the TESE as we felt it was too invasive for the low chance of success.

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    littlesunflowers  (03-08-2012)

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    My DH had a vasectomy 10 years ago. We did a tesa first as this was the cheapest option. They got heaps of fluid but no swimmers. I was devastated and immediately started to stress that we would have to use donor sperm.

    He then had a tese done and we got 7 straws of sperm. We were very lucky that we conceived first go and DS is now 3. We have done another 6 ivf cycles and are now 10 weeks pregnant with baby 2 (using frozen sperm from his tese).

    Don't give up. Its all worth a go and we put our bodies through so much so a bit of pain for them is nothing. I told DH when he was recovering from the procedure that that was his form of child birth.

    All the best hope things work out for you.

    Sent from my Nexus S using BubHub

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    littlesunflowers  (03-08-2012)

  9. #6
    littlesunflowers's Avatar
    littlesunflowers is offline It's not about the seeds - it's how you grow the flowers
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    I’m coming back to update threads I started, in case someone else comes looking for the same info I originally went looking for.


    We did do an mTESE even after having a not-very-promising TESA result. We did it so that we knew we had tried the best that current medical knowledge could offer. Both procedures were done in conjunction with an IVF cycle and whilst we went home with nothing after the TESA we were thrilled to leave after the mTESE cycle with an embryo created with our donor. No sperm were found either time.


    It was a difficult choice as to whether to do the mTESE, and a personal one. It costs money, it’s surgery so there were health risks for DH, and it did mean another disappointment for us even though we had a great embryo to focus on. DH also felt like he was pronounced infertile three times (after the sperm analysis, after the TESA, and after the mTESE) and each time it hurt a little more, even though we knew it well by the third time. Plus we were worried that if one or two sperm were found but they were poor quality, we might want to get on a new rollercoaster of trying cycles with poor-quality sperm. In a lot of ways it’s been a relief to just move onto the donor. But that relief is coupled with our knowledge that DH definitely has no sperm, which we were only sure of after doing the mTESE.

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    Glad you

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    Whoops bumped the post button. Glad you made a decision and got some answers. Wishing you all the best with your donor journey.

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    littlesunflowers  (16-04-2013)


 

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