Micro TESE: The Road To Parenthood
Author(s): City Air NewsA related photograph. New Delhi, December 8, 2015: Procreation is never given its due in the day to day life. People don’t give much importance to it until there is some problem. A newly-wed couple would never care...
cityairnews
Dec 8, 2015 10:30
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A related photograph.
New Delhi, December 8, 2015: Procreation is never given its due in the day to day life. People don’t give much importance to it until there is some problem. A newly-wed couple would never care to worry about having a child. It is only after the lapse of some time and effort that a couple realises that there is some problem. And they try to take medical help to know the problem and the cure. Adoption is an easier way but our societal stratification doesn’t allow even those who are willing to adopt. People prefer to try all sorts of mechanism in order to have a biological offspring.
A similar thing happened to Rashmi and Nitish, for 2 years they led a carefree married life. After which they planned to have a child but incessant efforts for the next one year or so bore no results. Finally on the advice of peers they visited an IVF centre to ascertain the causes and to know whether it is curable or not. A detailed investigation and counselling helped the doctors in ascertaining the cause of infertility. They found out that Nitish had met with an accident while practicing for a hockey match in his college days. This accident had resulted in a testicular trauma which resulted in a condition known as azoospermia. Azoospermia is the condition in which a person is unable to produce motile Sperm. Similarly Rashmi too had poor ovarian reserve. The doctors advised them for a Micro TESE process which they agreed to.
A Micro TESE is a path-breaking mechanism which is proving to be a boon for couples like Rashmi and Nitish. Dr Sonia Malik, Director, Southend Infertility and IVF centre ascribes much credential to this method, shedding some light on the process she said, “The concept of Micro TESE is to identify the pockets of sperm production within the testicles based on size and appearance of seminiferous tubules. These are then extracted for further processing through which patients of various testicular trauma are benefitted.” The process has an advantage over TESE and open testicular biopsy. It ensures greater success with minimal tissue damage. In almost 60% of NOA patients these pockets of sperm production are identified in highly dysfunction testicles. The dissection is performed by an expert urologist under an operating microscope which provides 16 to 25 times of magnification. As described by Schlegel, enlarged and opaque looking seminiferous tubules are more likely to contain germ cells. The tissue obtained is then processed and sperms are retrieved, processed and cryopreserved.
When it was found out that Nitish was unable to produce motile sperm doctors performed a Micro-TESE and extracted testicular sperms. These sperms were cryopreserved i.e. preserved in sub-zero temperatures in 3 vials. Rashmi underwent ovarian stimulation and three Oocytes were subsequently retrieved. Oocytes are immature egg cells which when subjected to Intracytoplasmic Sperm Injection (ICSI) lead to formation of embryos. The Oocytes retrieved from Rashmi were subjected to ICSI which led to formation of two embryos. They were transferred on the third day of formation. Later the beta HCG (Human Chorionic Gonadotropin) test on the 17th day (the normal pregnancy test that is easily conducted these days through Urine test) and a USG after 5 weeks confirmed single pregnancy. The childless couple of yesteryears are soon to become proud parents through this ground breaking technique.
Date:
Tuesday, December 8, 2015
