About Brigid Kowalczyk Expertise Fertility is a gift from God and infertility is a hard cross to bear. I will answer questions about the morality of the various infertility treatments. Just as contraception separates the procreative from the unitive aspects of sexual intercourse, some of the ways to concieve are immoral and thus dangerous to your spiritual and emotional well-being.
Experience Well-read and connected to various groups that recommend moral approaches to infertility treatments. I can sympathize with the pain of childlessness but also view the bigger picture. An objective discussion of your options is something to have when you are immersed in your loss.
Organizations Couple to Couple League, Inc.
National Right to Life
Education/Credentials Bachelor or Arts, Associate of Applied Science in Legal Studies, Medical Assistant
Expert: Brigid Kowalczyk Date: 10/25/2004 Subject: Sir,
i m 22 years old...
Question Sir, i m 22 years old male and i m unable to produce sperms due to the fact that i have both undescended testes even uptill now. Is there any surgery by which i will be able to produce sperms and will be able to produce childeren. I asked the same question from one other expert and he mentioned the surgical procedure named some thing liked that TESE surgery.(perhaps i spelled incorrect as i don't remember now correcly). Can u give me some idea of that surgerical procedure? i will understand that procedure as i m a medical student now of 4th year MBBS in Pakistan. Thanks
Answer This is the information I found about this procedure:
Testicular sperm extraction (TESE)
In some cases, sperm must be taken directly from the testicle for in vitro fertilization. This occurs in men with very low sperm production who have no sperm in the ejaculate in which the cause is not from a blockage of sperm flow (called nonobstructive azoospermia). It also occurs in some men with epididymal scarring, previous failed vasectomy reversal and in some men with congenital blockages of the sperm ducts. TESE can be done in either the office (local anesthesia) or in the surgery center (many anesthesia options). It does not require an operating microscope. Essentially, it entails making a very small scrotal incision over the testis and removing a small piece (biopsy) of testis tissue. That tissue is immediately examined by Dr. Nudell and an embryologist to determine the presence or absence of sperm. In some instances, multiple areas of the testis will need to by sampled (all through the same skin incision) in order to find adequate numbers of healthy sperm.
It doesn't mention your problem with undescended testicles so I don't know if it will work for your problem.
this is additional information about your difficulty:
How Is It Corrected?
Generally the child will need hormone injections or surgery if the testicle has not descended within the first year of life. The surgery, called orchiopexy, brings the testicle down and places it in the scrotum.
The procedure itself causes very little discomfort, according to Mark Barraza, MD, a pediatric urologist. Most children feel well enough to be active shortly after the operation.
Why Does It Have to Be Corrected?
Treatment is necessary for several reasons:
The higher temperature of the body may inhibit the normal production of sperm in the undescended testicle.
The undescended testicle is more susceptible to forming a tumor.
The undescended testicle is more vulnerable to injury.
An asymmetrical or empty scrotum may cause worry and embarrassment.
Should Parents Be Concerned?
Because undescended testicles are frequently associated with hernias, Dr. Barraza cautions parents of boys born with this condition to watch for a swelling or lump in the baby's groin area. A hernia forming in the same area where the testicle will descend could damage the testicle or obstruct the bowel. This condition would require immediate medical attention.
Boys born with an undescended testicle have an increased risk of infertility. And although testicular tumors are very rare, boys born with an undescended testicle have a greater chance of developing testicular cancer. Dr. Barraza says it's important for parents to discuss this with their child.
"Parents don't need to be overly concerned; they need to be informed," he says. "When their child gets older, simply let him know that he had an operation to bring his testicle down, and that he needs to examine his testicles periodically. His pediatrician or family doctor can teach him how to do that. If he notices any irregularity or bumps, he needs to let someone know."
