The vast majority of male infertility diseases are related to sperm problems. There are many types of sperm problems, including azoospermia, asthenozoospermia, and even more severe azoospermia. And if everyone wants to have a definitive understanding of the cause and condition of the disease, they must undergo more invasive tests, such as the most classic testicular puncture test. So, is it really painful to take sperm from this test? What is testicular puncture used for?

1、 Does testicular puncture for sperm collection hurt?

Testicular puncture is targeted at men with azoospermia, azoospermia, and difficulty in obtaining sperm. Extracting a very small amount of testicular tissue through a puncture needle, placing the extracted testicular tissue into a culture container containing culture medium, grinding the testicular tissue with a fine needle, releasing sperm from the testicular tissue into the culture medium, and then searching for sperm under a microscope is a way to obtain testicular sperm. Before the testicular puncture surgery, a small amount of anesthesia is injected to alleviate the pain during the puncture. The pain is a bit like a regular injection. There is a brief pain at the moment of puncture, but the pain is tolerable. For patients suspected of obstructive azoospermia and ejaculation disorders, local skin disinfection of the epididymis should be performed. After local anesthesia, use a 5 ml syringe to directly puncture the epididymis fluid, or use microsurgical methods to cut open the epididymis to search for sperm. If the diagnosis of sperm motility is confirmed, intracytoplasmic sperm injection can be performed using the punctured sperm to obtain one's first fetus.

2、 What is testicular puncture used for

Testicular puncture is a one-time examination of sperm, which involves extracting testicular tissue to check if the testicles have spermatogenic function. Do not exercise vigorously, have sex, smoke or drink alcohol for one week after the puncture. Use needles and needles for puncture. After skin disinfection and anesthesia, the puncture needle is passed through the scrotal skin to puncture the testicles. The needle core is removed and a small amount of testicular tissue is extracted. The puncture needle is then pulled out and the puncture site is bound for testicular tissue examination.? Azoospermia can be divided into testicular azoospermia and obstructive azoospermia. There is great hope for a cure for some azoospermia after further examination of testicular germ cells.

3、 What to do if there is no sperm after testicular puncture?

Azoospermia can be divided into obstructive azoospermia and primary azoospermia. Testicular puncture can only check the function of this testicle, not the entire testicle. If there are no sperm in the puncture, it will affect fertility. If there are no sperm after three punctures, azoospermia should be considered. This situation requires identifying the cause in order to receive targeted treatment. Some can be treated with medication, but some obstructive conditions require surgery, etc. Different causes and treatment methods are different.

Although testicular puncture may sound terrifying, azoospermia and infertility are even more terrifying things. If the situation is not too serious, usually testicular puncture can still detect spermatogonia and sperm, but if it cannot be detected, it indicates that the situation is very serious. It is even very likely that there will be no sperm at all in the future and there will be no treatment at all!