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 the morning of oocyte retrieval.


METHODS
Case report.


METHODS
Hospital-based IVF clinic.


METHODS
A couple suffering secondary infertility undergoing their first IVF and intracytoplasmic sperm injection (ICSI) cycle.


METHODS
Fine-needle testicular biopsy for sperm retrieval.


METHODS
Sperm retrieval, fertilization, pregnancy.


RESULTS
Sufficient spermatozoa 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.


CONCLUSIONS
Testicular aspiration of sperm for ICSI is a simple, inexpensive, and effective means of rescuing an IVF cycle in which the male partner unexpectedly has been unable to produce a sperm sample on the morning of oocyte collection.
Watkins
W
W
Royal Womens Hospital, Carlton, Victoria, Australia.
Bourne
H
H
Nieto
F
F
Gronow
M
M
Baker
G
G
D000328:Adult; D001707:Biopsy, Needle; D004542:Ejaculation; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008297:Male; D008845:Microinjections; D011247:Pregnancy; D013094:Spermatozoa