Laparoscopy

Laparoscopy

Laparoscopy is a minimally invasive surgical procedure applied to women who cannot have children to detect and treat the conditions causing infertility. It’s a thin tube-like flexible device with a high-resolution camera and high-beam light attached to one end that allows a fertility doctor to see and examine all of the abdominal organs, including the uterus, fallopian tubes, and ovaries, located in the pelvis at the very bottom of the abdomen, and diagnose abnormalities that could interfere with a woman’s ability to conceive a pregnancy. Endometriosis, pelvic adhesions, ovarian cysts, and uterine fibroids are the most frequent conditions that lead to infertility.

Some of the female reproductive disorders that can be detected and treated using laparoscopic surgery are:

  • Ovarian conditions: persistent and large ovarian cysts can be identified and treated using a laparoscopic method.
  • Uterus anomalies: The uterus is where the embryo is implanted. Women who have uterine fibroids or anatomical malformations in their uterus will have difficulty conceiving, but those problems can be diagnosed and treated with Laparoscopy.
  • Scar tissue removal: Scar tissue can be formed in the reproductive system because of infections or previous surgery, which might hinder fertility. These scar tissues can be accurately identified and eliminated using Laparoscopy.
  • Fallopian tube obstructions: The fallopian tubes enable gametes to move forward for fertilization to occur. To improve the chances of conception, blockages in these tubules should be cleared with Laparoscopy.
  • Hydrosalpinx: is a condition when unusual fluid accumulates within the fallopian tube and causes damage. The tubes are clipped off using a laparoscopic method in such circumstances.
  • Pelvic adhesion and Endometriosis: When the endometrium grow out of the uterus in women who have endometriosis. The pelvic organs and tissues stick together as a result of this. Laparoscopic surgery is used to treat endometriosis and remove adhesions.

After you’ve learned about the advantages of Laparoscopy, you should know that it can be used to treat both moderate and severe infertility issues. Operative laparoscopy performed before an IUI has also been shown to help many women conceive. Similarly, IVF performed following laparoscopic surgery has yielded improved results and has led to successful IVF pregnancy.

Assisted reproduction techniques (ART) are an excellent way for infertile couples, but adding a laparoscopic treatment to the latest ART treatments can increase pregnancy success by 20 to 25% and result in a healthy pregnancy.

Male Infertility

Male Infertility

Non-Obstructive Azoospermia and Obstructive Azoospermia are two conditions that cause male infertility.

  • Man does not make sperm in Non-Obstructive Azoospermia.
  • In obstructive azoospermia, sperm is produced but obstructed and does not leave the body.

Male infertility is diagnosed using a variety of procedures, including sperm analysis, blood testing, culture exams, and scrotal ultrasounds. The number of sperm, sperm count, morphology, and sperm motility may all be determined using these male fertility tests.


Procedures for Sperm Retrieving

The basic purpose of the sperm retrieval method is to obtain the highest quality and number of sperms possible. The reproductive tract can produce sperm in a variety of ways. It is taken extra precautions to prevent causing any damage to the reproductive tract.

  • Testicular Sperm Aspiration (TESA)
  • Percutaneous Epididymal Sperm Aspiration (PESA)
  • Microsurgical Epididymal Sperm Aspiration (MESA)
Testicular Sperm Aspiration (TESA)

Testicular Fine Needle Aspiration (TESA) is another name for TESA (TFNA). Azoospermia is diagnosed or treated using TESA. It’s also capable of extracting sperm from the testicles. It’s usually done in a clinic or hospital using a nerve block. A tiny needle is injected into the skin and testis to carefully extract sperm during this process. There are no more cuts required.


Percutaneous Epididymal Sperm Aspiration (PESA)

A technique that, like TESA, may be repeated multiple times at a minimal cost and without a surgical cut. PESA is used to treat obstructive azoospermia in particular. It does not necessitate the use of a high-powered microscope. PESA can be performed under either local or general anaesthesia. The doctor carefully removes fluid from the epididymis using a needle linked to a syringe. When sperm do not come out during the PESA process, a surgical operation is required.

Microsurgical Epididymal Sperm Aspiration (MESA)

MESA is a fairly safe sperm retrieval method. Men with vassal or epididymal blockage (s/p vasectomy, congenital bilateral lack of the vas deferens) undergo MESA. It is either done on a scheduled basis or in conjunction with the egg retrieval of their female spouse. A surgical microscope is used in the MESA technique to assist collect sperm from the epididymis tubes. It is carried out under general anaesthesia in the operating room. MESA can extract a large amount of healthy sperm that may be preserved and stored for later use. In comparison to sperm retrieval procedures, MESA enables for a larger quantity of mature sperm. It is the recommended method of retrieval for males with congenital bilateral vas deferens absence since it has no effect on testis steroid production.

After the Sperm Retrieval Procedure, Take These Precautions
  • The time it takes to recover following sperm retrieval is determined on the procedure utilised. The recovery period might last anything from a few days to a week. In 24 to 48 hours, most men may return to work. Returning to intense labour, however, takes 5 to 10 days.
  • For a few days, men should avoid intense activity.
  • The patient must take his or her medications on a regular basis as directed by the doctor.
  • Men may endure bruising, pain, infection, and discomfort, although these symptoms are only transitory.

Sperm Retrieval – TESA, PESA, MESA

Sperm Retrieval – TESA, PESA, MESA

Sperm Retrieval is a surgical treatment that extracts sperm from a man’s reproductive system’s testicular tissue. If a guy is unable to release or produce healthy sperm naturally, a doctor may prescribe a Sperm Retrieval operation. The testicular tissue may be found in the two testes that produce sperm. The testes are located within the scrotum, a tiny sac behind and under the penis. The Sperm Retrieval method is most commonly used to treat male infertility. In Vitro Fertilization (IVF) or Intra Uterine Insemination (IUI) treatments are performed with the recovered sperm.

To undertake Sperm Retrieval treatments at our IVF clinic in Cyprus, we have Dr. Mehmet Tuzlal, a well-experienced and skilled infertility specialist. In the field of assisted reproductive technologies, we offer comprehensive and highly personalised fertility treatment (ART). In addition, we devise the most effective and appropriate treatment programmes for each patient’s condition.

Indications for sperm retrieval

Surgical sperm retrieval is an effective treatment option for men suffering from diseases such as:

  • A blockage inhibiting sperm release due to damage or illness.
  • Absent Vas deferens from birth (men born without the tube that drains the sperm from the testicle)
  • Vasectomy
  • Non-obstructive azoospermia (the testicles produce insufficient sperm to reach the vasculature)

Fertility options for LGBTQ+ community

Fertility options for LGBTQ+ community

If you and your partner are in a loving relationship, you may be considering starting a family. Although adoption may seem natural, many individuals desire to try pregnancy and have a biological child. But the question then becomes what the options for LGBTQ+ couples are. For same-sex couples who want to get pregnant, there are various treatment choices and genetic tests available. Navigating fertility and starting a family as a member of the LGBTQ+ community may be a confusing and stressful journey. Our Cyprus IVF hospital is here to assist you!

Here’s a list of the various reproductive options available to LGBTQ+ individuals:

For Lesbian couple
  • Donor insemination: is when sperm is injected into the vaginal canal with a syringe. The most apparent answer to the question "how can lesbian couples get pregnant?" is to find a sperm donor. There are, however, several approaches to sperm donation. The sperm can come from someone that you know, or it can come from an anonymous donor.
  • Intrauterine insemination (IUI): is similar to donor insemination, except that it uses a catheter to inject sperm into the uterus. After the procedure, the aim is that the sperm will reach the egg and result in a pregnancy. The success rate of IUI varies based on several factors, including any underlying fertility issues, the kind of sperm used, and other factors such as your age and overall health.
  • Invitro fertilization (IVF) is a fertility treatment in which doctors utilize fertility drugs to help your ovaries produce numerous eggs. To begin an IVF cycle, one spouse injects medicines into her ovaries to induce the production of mature follicles (eggs). A physician then extracts the eggs and fertilizes each mature egg with sperm from a donor. An embryo can be transferred into a uterus after being developed, while any leftover embryos can be preserved for future transfers.
  • Surrogacy: If neither spouse wants to get pregnant, or if one or both has reproductive issues, surrogacy may be an option. You can hire a gestational carrier or a conventional surrogate. These choices entail hiring a lady to undergo IVF with your egg, her egg, or a donor's egg, as well as donor sperm, to produce one or more embryos. She'll carry the pregnancy, give birth to the baby, and then you'll be granted parental rights under the terms of the legal arrangement.
For Gay couple

Egg donation and surrogacy are popular choices for gay men who want to have a child. Surrogates are frequently artificially inseminated, although donated eggs can also be fertilized through IVF and transferred to the surrogate’s uterus. Although only one man’s sperm can be used to make an embryo, many couples choose split insemination, in which half the eggs are fertilized with one man’s sperm and the other half with the other man’s sperm.

Embryo donation is also another option for gay couples to consider in our Cyprus IVF hospital.

Fertility preservation Before Gender Transition: While gender transition is a personal choice, keeping your present sperm or eggs is a practical consideration. Later in life, you’ll be able to take advantage of reproductive choices and avoid problems related to infertility.

So, here in Cyprus IVF hospital, we offer a variety of services like:

  • Egg freezing
  • Sperm freezing
  • Embryo freezing

Hysteroscopy

Hysteroscopy

Hysteroscopy is used to identify and treat uterine disorders. A hysteroscopy is a long, thin, illuminated equipment introduced into the uterus through the vaginal canal. It also displays an image of the uterus on a screen, allowing the fertility doctor to examine it.
The examination of the uterus cavity with hysteroscopy enables the identification and treatment of various uterine disorders. Some of which may cause fertility issues. In most cases, unsuccessful IVF attempts are due to problems in the embryo, such as genetic disorders or other difficulties with the woman’s uterus. Several fertility clinics have previously performed hysteroscopy on women who have had failed IVF cycles to look for uterine growths or scar tissues and remove them.

Other non-invasive means of examining the uterine cavity include hysterosonography (HSN), which involves putting a small amount of saltwater into the uterus and then performing an ultrasound to assess the uterus.
Before beginning IVF treatment, a hysteroscopy is recommended. You won’t always be given one, but keep insisting on having one. A hysteroscopy is the most effective approach to determine whether your womb is healthy and capable of carrying a baby.

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