TESTICULAR ASPIRATION OF SPERM FOR INTRACYTOPLASMIC SPERM INJECTION -A NOVEL TREATMENT FOR EJACULATORY FAILURE ON THE DAY OF OOCYTE RETRIEVAL

Objective: To present a successful outcome of an IVF cycle complicated by failure to produce a sperm sample on tile morning of oocyte retrie val. Design: Case report. Setting: Hospital-based IVF clinic. Patient: A couple suffering secondary infertility undergoing their first IVF a nd intracytoplasmic sperm injection (ICSI) cycle. Intervention: Fine-n eedle testicular biopsy for sperm retrieval. Main Outcome Measures: Sp erm retrieval, fertilization, pregnancy. Results: Sufficient spermatoz oa were obtained for ICSI. Ten metaphase II oocytes were injected with two embryos being transferred fresh and four cryopreserved. A single fetal heart was confirmed at 6-week sonar. Conclusion: Testicular aspi ration of sperm for ICSI is a simple, inexpensive, and effective means of rescuing an IVF cycle in which the male partner unexpectedly has b een unable to produce a sperm sample on the morning of oocyte collecti on.