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 fail Design: Case report. Setting: Hospital-based IVF clinic. Patient: A couple suffering secondary infertility undergoing their first IVF and intracytoplasmic sperm injection (ICSI) cycle. Intervention: Fine-needle testicular biopsy for sperm retrieval. Main Outcome Measures: 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. Conclusion: 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.