In male reproductive system diseases, problems with semen and sperm account for the vast majority. Many male friends have been neglecting a healthy lifestyle, and some have been smoking and drinking for a long time, resulting in lower sperm quality. It wasn't until I was preparing to have a baby that I woke up and realized that my sperm had already lost its natural fertility function, either dead sperm or weak sperm deformity sperm. In this situation, there is almost only one way for these people to carry their children, which is through artificial insemination. Can artificial insemination be performed if testicular puncture is performed? How many sperm can be extracted from a testicular puncture?

1、 Introduction to testicular puncture surgery

The doctor uses a fine needle to puncture the testicles and remove a small amount of testicular tissue to check for sperm production. This method is usually applicable to obstructive azoospermia and is used to determine local testicular function. The operation is simple and fast, and outpatient surgery can be completed. Meanwhile, the cost is lower. But the extracted tissue is very limited and can only reflect the spermatogenesis of a certain part of the testicles. After local anesthesia, the doctor cuts a small hole in the testicles and removes a certain amount of testicular tissue. This method is usually also applicable to obstructive azoospermia, used to extract enough sperm for cryopreservation. Testicular biopsy is similar to testicular puncture, with only a small amount of tissue removed. Testicular biopsy only removes local testicular tissue and cannot reflect the overall occurrence of sperm, making it unsuitable for non obstructive azoospermia. After general anesthesia, the doctor found a better place for sperm production under a microscope and removed the tubes containing sperm. This method is suitable for non obstructive azoospermia. Although not many tissues were extracted, they were more targeted. For non obstructive azoospermia, the probability of sperm collection is much higher than that of needle biopsy. The damage to the testicles is limited.

2、 Can testicular puncture be used for artificial insemination?

Yes, artificial insemination involves injecting the husband's semen or frozen sperm provided by a healthy sperm bank into the female reproductive tract after optimization. Artificial insemination can be divided into husband artificial insemination and donor artificial insemination based on the different sources of sperm. They adapt to different groups of people. Donors must undergo a comprehensive examination, including hepatitis B surface antigen and blood type, exclude other infectious diseases, and understand their appearance and intelligence. The semen of the same donor cannot be used after 5 pregnancies to avoid the possibility of intermarriage among offspring. Male infertility caused by sexual dysfunction, genital malformations, and psychological factors. Such as erectile dysfunction, premature ejaculation, non ejaculation, retrograde ejaculation, hypospadias, penile curvature deformity, and severe sclerosis of the corpus cavernosum of the penis.

3、 How many sperm can be removed by testicular puncture?

The amount of sperm that can be taken during testicular puncture is not absolute. The testicular puncture method is mainly aimed at patients with azoospermia. This can determine whether there are spermatogenic cells in the male testicles. If there are germ cells, they have therapeutic effects. If it is congenital azoospermia, it is difficult to treat.

Overall, testicular puncture surgery can be used as a means of pathological examination or as a means of artificial sperm collection. If artificial insemination is used, a relatively large amount of sperm is required. But if IVF is adopted, even if only one sperm is taken, the goal of fertilization can be achieved intact!