{"id":6449,"date":"2017-04-13T16:50:00","date_gmt":"2017-04-13T13:50:00","guid":{"rendered":"https:\/\/serkanoral.com\/tup-bebek-tedavisinde-igne-yontemi\/"},"modified":"2025-09-05T20:34:17","modified_gmt":"2025-09-05T17:34:17","slug":"needle-method-in-ivf-treatment","status":"publish","type":"post","link":"https:\/\/serkanoral.com\/en\/needle-method-in-ivf-treatment\/","title":{"rendered":"Needle Method in IVF Treatment"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130\u00e7indekiler<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serkanoral.com\/en\/needle-method-in-ivf-treatment\/#needle-method-in-ivf-treatment\" >Needle Method in IVF Treatment<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serkanoral.com\/en\/needle-method-in-ivf-treatment\/#success-rates-with-pesa-or-tesa-and-ivf-with-icsi\" >Success rates with PESA or TESA and IVF with ICSI<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serkanoral.com\/en\/needle-method-in-ivf-treatment\/#surgical-sperm-retrieval-methods-%e2%80%93-ivf-needles\" >Surgical sperm retrieval methods \u2013 IVF needles<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serkanoral.com\/en\/needle-method-in-ivf-treatment\/#necessary-tests-before-surgical-sperm-retrieval\" >Necessary tests before surgical sperm retrieval<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\">The needle method has become a popular term in IVF treatment. Sperm can be aspirated with a needle from the testicle or the vas deferens (a structure located right next to the testicle that contains the sperm). Some medications are given to calm the male candidate and some local anesthesia is used to numb the area. A small needle is then inserted and the sperm is aspirated from the epididymis or testicle. The procedure usually takes about 30 minutes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-h12iq647\"><strong>Different sperm aspiration and extraction procedures have long names as well as short names (abbreviations):<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-ggn5n649\">PESA \u2013 Percutaneous Epididymal Sperm Aspiration (can be done in the office) TESA \u2013 Testicular Sperm Aspiration (can be done in the office) TESE \u2013 Testicular Sperm Extraction involves making a small incision and cutting away some tissue from inside the testicle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-19wlv651\">The sperm must be of sufficient quantity and quality to be able to fertilize the female partner\u2019s eggs in the laboratory, using a procedure that injects a single sperm into each egg. This procedure is called intracytoplasmic sperm injection, or ICSI. Once fertilization is complete, in vitro fertilization \u2013 IVF culture techniques are used to culture the resulting fertilized eggs for 3-5 days before embryo transfer to the woman\u2019s uterus. Since multiple eggs are needed to have a good chance of success, the woman must undergo ovarian stimulation and then an egg retrieval procedure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-lflei653\">If eggs are retrieved on the same day, sperm can be used fresh, otherwise it can be frozen and thawed and used later. Usually enough sperm is aspirated so that it can be split into several vials and multiple attempts of IVF can be made, if necessary.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-5zdq9655\">The sperm aspiration procedure is usually performed by a urologist who specializes in male fertility cases. In some cases, it may be performed by a reproductive endocrinologist (infertility specialist).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"viewer-bupuv657\"><span class=\"ez-toc-section\" id=\"success-rates-with-pesa-or-tesa-and-ivf-with-icsi\"><\/span>Success rates with PESA or TESA and IVF with ICSI<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-kdlhq659\">The success rate is very dependent on the IVF live birth success rates of the in vitro fertilization laboratory. IVF success rates also depend on the age of the female partner, even in these \u201cmale factor\u201d cases after vasectomy. The female partner\u2019s ovarian reserve, best measured by antral follicle count, is a good predictor of the chance for a successful IVF outcome.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-ptzk4661\">intracytoplasmic sperm injection (ICSI) and in vitro fertilisation (IVF) now make it possible to extract a single sperm and use it directly to fertilise an egg. The latest surgical sperm retrieval techniques combined with ICSI and IVF mean that even men who produce almost no sperm can overcome infertility.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-a6bop663\">A low sperm count is a common cause of male infertility, but if a man produces even the smallest number of sperm in his semen, they can be collected fairly easily. Men who ejaculate no sperm due to blocked tubes in their testicles or a genetic condition that prevents their sperm from being released will require some form of surgical sperm retrieval so that intracytoplasmic sperm injection can be performed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"viewer-2uhpe665\"><span class=\"ez-toc-section\" id=\"surgical-sperm-retrieval-methods-%e2%80%93-ivf-needles\"><\/span>Surgical sperm retrieval methods \u2013 IVF needles<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The main methods of surgical sperm retrieval available are:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-o6h8h669\">PESA: percutaneous epididymal sperm aspiration. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-o6h8h669\">MESA: microsurgical epididymal sperm aspiration.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-o6h8h669\">TESA: testicular sperm aspiration. Includes testicular fine needle aspiration (TFNA). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-o6h8h669\">TEZ: testicular sperm extraction. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-o6h8h669\">Microinsight TESE.Perc biopsy: percutaneous biopsy of the testicles.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"viewer-5wbpb671\"><span class=\"ez-toc-section\" id=\"necessary-tests-before-surgical-sperm-retrieval\"><\/span>Necessary tests before surgical sperm retrieval<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"viewer-bkkmw673\">A man who does not produce sperm in his semen is suffering from azoospermia. This may be due to a blockage in one of the tubes that carry sperm from the testicles, causing it to leak out into the penis during ejaculation. Obstructive azoospermia may be caused by testicular cancer, as the tumor presses on the vas deferens. This type of cancer is common in young people and can be treated successfully. However, it can lead to infertility, so surgical sperm retrieval may be performed to store some sperm before starting treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other conditions cause non-obstructive azoospermia, including an abnormal cystic fibrosis gene. Men with this condition may not have all the symptoms, but most often they have no vas deferens. Surgical sperm retrieval is possible, but there is a 50:50 chance that subsequent embryos produced by ICSI and IVF will show the same genetic abnormality. Options then include using a sperm donor and intrauterine insemination (IVU) or IVF, or performing pre-implantation genetic diagnosis (PGD) to select embryos that carry the normal gene.<\/p>\n\n    <div class=\"xs_social_share_widget xs_share_url after_content \t\tmain_content  wslu-style-1 wslu-share-box-shaped wslu-fill-colored wslu-none wslu-share-horizontal wslu-theme-font-no wslu-main_content\">\n\n\t\t\n        <ul>\n\t\t\t        <\/ul>\n    <\/div> \n","protected":false},"excerpt":{"rendered":"<p>The needle method has become a popular term in IVF treatment. Sperm can be aspirated with a needle from the testicle or the vas deferens (a structure located right next to the testicle that contains the sperm). Some medications are given to calm the male candidate and some local anesthesia is used to numb the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1384,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-6449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ivf"],"_links":{"self":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts\/6449","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/comments?post=6449"}],"version-history":[{"count":0,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/posts\/6449\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/media\/1384"}],"wp:attachment":[{"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/media?parent=6449"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/categories?post=6449"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/serkanoral.com\/en\/wp-json\/wp\/v2\/tags?post=6449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}