A Childbirth from Azoospermic Male by Microsurgical Epididymal Sperm Aspiration (MESA) Technique : the First Case Report in Thailand

Abstract

Azoospermia can be resulted from either obstructive or non-obstructive pathological condition. By introducing the microscopic epididymal sperm aspiration (MESA) technique, some motile sperm can be retrieved from the epididymis of the obstructive azoospermic patient. However, most of the aspirated sperm has poor fertilizing capacity, it needs to be combined with the intracytoplasmic sperm injection (ICSI) for assisting the fertilization. This presentation a couple whose the husband was azoospermia due to previous vasectomy and failed vas deferens reanastomosis twice. The pregnancy was achieved by performing MESA for sperm retrieval and doing ICSI for assisting fertilization. The baby was born with completely normal and appropriate development. To our knowledge, this is the first report in Thailand of successful childbirth concieved by this technique.