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Testicular sperm aspiration and intracytoplasmic sperm injection for persistent infection of the ejaculate
D S Seidman1, I Madjar, J Levron
1Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel. dannys@leland.stanford.edu
Objective:
To report the successful use of testicular sperm aspiration and intracytoplasmic sperm injection in the presence of an Escherichia coli-infected ejaculate that previously caused repeated embryo degeneration.
Design:
Case report.
Setting:
University medical center.
Patient(S):
A 38-year-old woman who did not conceive for 6 years with repeated IVF attempts. Escherichia coli was isolated from both the oocyte culture dish and her male partner's ejaculate.
Intervention(S):
Testicular sperm aspiration and intracytoplasmic sperm injection followed by ET.
Main Outcome Measure(S):
Clinical outcome.
Result(S):
Establishment of a pregnancy delivered at term.
Conclusion(S):
Patients undergoing IVF treatment who have repeated embryo degeneration caused by bacterial infection originating in the ejaculate may be treated successfully with testicular sperm aspiration and intracytoplasmic sperm injection.