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Successful Treatment of Testicular Failure Type Iv Without Micro-Testicular Epididymal Sperm Extraction: A Case Report
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نویسنده
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Paktinun Nahathai ,Srisombut Chartchai ,Kongwattanasin Thidarat ,Pongpirul Krit
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منبع
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Journal Of Family And Reproductive Health - 2021 - دوره : 15 - شماره : 4 - صفحه:262 -265
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چکیده
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Objective: sperm donation and hormonal therapy with micro-testicular epididymal sperm extraction (tese) for infertility from testicular failure might not always be available in some contexts. we report a successful embryo transfer from the patient-by ‘cumulative sperm collection’ strategy. case report: a 42 year-old male presented with non-obstructive azoospermia from testicular failure. hormonal treatments were given along with the patient-initiated ‘cumulative sperm collection’ strategy, which eventually resulted in 17 sperms retrieved. twelve mature oocytes were selected for intracytoplasmic sperm injection (icsi) with the retrieved sperms, of which 8 oocytes were successfully fertilized but only two reached the early blastocyst stage; the first embryo transfer was not successful. another five eggs were thawed and fertilized with the remaining 5 sperms and 3 oocytes were successfully fertilized: seven cells were grade 3, 6 cells were grade 3, and 3 cells were grade 3. the second embryo transfer was successful, and the term female infant was successfully delivered by cesarean section. conclusion: at a center without micro-tese availability, successful embryo transfer for testicular failure type iv could be achieved by hormonal therapy plus a ‘cumulative sperm collection’ strategy.
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کلیدواژه
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Azoospermia ,Hypogonadism ,Sperm Retrieval
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آدرس
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Bumrungrad International Hospital, Thailand, Bumrungrad International Hospital, Thailand, Bumrungrad International Hospital, Thailand, Chulalongkorn University, Faculty Of Medicine, Thailand. Bumrungrad International Hospital, Thailand. Johns Hopkins Bloomberg School Of Public Health, Usa
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پست الکترونیکی
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doctorkrit@gmail.com
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Authors
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