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Published on: May 27, 2022
First reported deliveries in Ireland using surgically retrieved sperm for non-obstructive azoospermia
A P H Walsh1, T T Yokota, D J Walsh
1The Sims Institute/Sims International Fertility Clinic, Rosemount Hall, Dundrum Road, Dundrum, Dublin 14, Ireland.
Irish Journal of Medical Science
|October 22, 2010
Summary
Male factor infertility affects 40% of couples. This study reports the first successful deliveries in Ireland using surgically retrieved sperm for in vitro fertilization (IVF), offering hope for men with non-obstructive azoospermia.
Area of Science:
- Reproductive Endocrinology
- Andrology
- In Vitro Fertilization (IVF)
Background:
- Male factor infertility is a significant cause of consultations in reproductive endocrinology, affecting approximately 40% of infertile couples.
- Azoospermia, the absence of sperm in ejaculate, can be a devastating diagnosis, particularly in men without a history of vasectomy.
- Non-obstructive azoospermia presents unique challenges in assisted reproductive technology.
Observation:
- This study details the first reported pregnancies and deliveries in Ireland resulting from in vitro fertilization (IVF) using surgically retrieved sperm.
- The successful application of cryopreserved/thawed embryos derived from surgically retrieved sperm is also documented.
- These advancements demonstrate the viability of utilizing testicular sperm in IVF procedures.
Findings:
- Successful pregnancies and live births were achieved using surgically retrieved sperm in IVF cycles.
- Cryopreservation and subsequent use of embryos derived from surgically retrieved sperm also led to successful deliveries.
- These findings confirm the efficacy of sperm retrieval techniques for treating non-obstructive azoospermia.
Implications:
- Provides a viable alternative to donor sperm for couples facing male infertility due to non-obstructive azoospermia.
- Establishes a new benchmark for assisted reproductive technologies in Ireland, expanding treatment options for male factor infertility.
- Offers renewed hope and potential for biological parenthood to individuals previously considered to have limited reproductive options.
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In Vitro Fertilization
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
Infertility in Males
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...

