If sperm cannot be obtained by masturbation, it can be aspirated from the testes or epididymis (tightly coiled tubules, attached to the top of the testes).
Testicular or epididymal sperm aspiration is a technique that can be added to in vitro fertilization, oocyte donation or gestational surrogacy.
The most common conditions requiring sperm aspiration are:
- Previous vasectomy (with or without an attempt at reversal)
- Congenital absence of vas deferens (the connecting tube between testicles and penis)
- Sperm concentration and/or sperm quality so low that no normal sperm can be found in the ejaculate
Sperm Aspiration Process
Sperm aspiration is normally an uncomplicated, quick outpatient procedure requiring only a small amount of local anesthetic. It is done by a urologist that comes to NOVA so the sample can be immediately processed by the embryologist. NOVA’s embryologist will immediately assess the sperm aspirate. You will know the procedure’s outcome right away.
Once sperm have been successfully aspirated, ICSI (Intracytoplasmic Sperm Injection) procedure is used for fertilization of eggs obtained through in vitro fertilization, oocyte donation or gestational surrogacy.
In ICSI, a single sperm is inserted into an egg under a microscope using micro-instruments.
The sperm aspiration can be scheduled for the morning of the egg retrieval procedure and the sperm is used for the ICSI that same day. The extra sperm can be frozen and used in the future so the male partner does not have to go through another procedure.
Alternatively, the sperm aspiration can be done prior to the egg retrieval. The collected sperm is frozen and stored in liquid nitrogen. The sperm sample is then thawed the morning of the egg retrieval and used for ICSI fertilization.
Testicular or epididymal sperm aspiration is billed separately from the procedure to which it is added (see cost of in vitro fertilization, oocyte donation, gestational surrogacy and oocyte donation with gestational surrogacy).
Sperm identification from testicular or epididymal sperm aspiration ($2,420) includes identification of viable sperm in an epididymal or testicular aspirate and sperm preparation for capacitation and concentration adjustment.
Intracytoplasmic sperm injection-ICSI ($1,900) is required for oocyte fertilization with aspirated sperm.
Sperm cryopreservation and storage ($415) is normally done in conjunction with sperm aspiration procedure to preserve any extra sperm for potential subsequent use.
Please note that these fees are per each occurrence of the sperm aspiration procedure. If your treatment is a part of a multiple cycle plan requiring repeating the sperm aspiration in subsequent treatment cycles, the fees are due each time the sperm aspiration is added.
The sperm aspiration does not need to be repeated if there is cryopreserved sperm available from a previous aspiration.
If you wish, you can request an initial appointment for sperm aspiration treatment with the NOVA physician.
Fees are subject to change without notice.