Infertility Treatment Options
The importance of a thorough evaluation of both partners preparing for a surrogacy journey cannot be overestimated. Male factors account for at least 30 to 50 percent of all fertility issues in patients.
The semen analysis is done on an ejaculated sample collected after masturbation. It is best to do this test after a patient has abstained from sexual activity for two to five days.
The test can be inaccurate if there has been recent ejaculation (counts too low) or if ejaculation has not occurred in a long time (too many dead sperm). Once the sample has been taken to the laboratory, it is analyzed for many different parameters, including fluid volume, sperm numbers, sperm motility (the percentage of moving sperm), and sperm morphology (the shape and appearance of the sperm).
Variations can occur from test to test, even in the same man, and sometimes the test needs to be repeated.
When a man has little to no sperm in his ejaculate, it may be possible to retrieve sperm from his testicles or epididymis. This is a procedure performed by a urologist. The sperm retrieved can either be frozen for future use or used immediately for an IVF cycle.
Testicular Sperm Extraction / TESE
TESE is a surgical sperm retrieval procedure used in fertility treatment for men who have no sperm in their ejaculate due to a blockage in the route between the site of sperm production (the testes) and ejaculation or because there is a partial or complete failure in sperm production in the testes.
Sperm are retrieved from the testes and can be used to achieve fertilization of eggs in the laboratory. However, because the number of sperm retrieved is often very low, it is necessary to combine TESE with ICSI. If a suitable number of sperm is retrieved, it is sometimes possible to freeze the remaining testicular extract for subsequent treatment.
Microchip Sperm Selection
MicroChip sperm selection is a more natural selection method since it imitates the normal physiology of the sperm. Avoiding centrifugal techniques, the healthiest sperm cells are collected as close to the natural process as possible. With microchip technology, sperm cells race in a specially designed solution, passing through microchannels, as though they were trying to reach the egg cell. Sperm reaching the “finish line” first are the most likely to fertilize the egg. This is especially beneficial in cases of low-quality sperm. Since the method relies on the principle of selecting the healthiest sperm, it can be performed along with additional processes during treatment.
PRP Ovarian and Endometrial Rejuvenation
PRP (platelet-rich plasma) for infertility, involves using the latest science to make pregnancy possible. PRP has been used for at least a decade in many fields, including dermatology, cosmetic surgery, cardiology, dentistry, orthopedics, and even for hair regeneration. Using this technology to enhance fertility is rather new, but it is promising.
PRP can stimulate proliferation and regeneration of endometrial tissue as pregnancy rate is increased with increased endometrial thickness.
For ovarian rejuvenation, PRP is directly injected into a patient’s ovaries with her own platelet-rich plasma , infusing the ovaries with proteins rich in growth factors.
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